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Search › Texas › 122300000X

Timothy Long

NPI 1992111975 · on the registry since 2014

Practice

Address
6830 Phelan Blvd
Beaumont, TX 77706
Phone
(409) 860-9600
Organisation at this address
Tx Southern Dental Pc
Robert C Matherne Dds Inc
West End Dental Group, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-10

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 Texas