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Robert Long, DDS
NPI 1437332160 · on the registry since 2007 · sole proprietor
Practice
- Address
- 527 Desoto Ave
Clarksdale, MS 38614 - Phone
- (662) 627-2565
- Fax
- (662) 627-2524
- Organisation at this address
- Long Family Dentistry Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-17
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 Mississippi