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Search › Indiana › 1223E0200X

Jacob Long, DDS, MSD

NPI 1710335401 · on the registry since 2016 · sole proprietor

Practice

Address
1950 Saint Charles St Ste 6
Jasper, IN 47546
Phone
(812) 482-7668
Organisation at this address
Deaconess Clinic Inc
Jasper Family Physicians Pc
Deaconess Memorial Medical Center Inc
Deaconess Memorial Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-21

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