Shawn Long, DDS
NPI 1194892778 · on the registry since 2006
Practice
- Address
- 16329 State Rd 23
South Bend, IN 46635 - Phone
- (574) 243-8843
- Fax
- (574) 243-8845
- Organisation at this address
- Dr Shawn R Long Dds Pc
Brace Yourself Orthodontics LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana