NPI 1255762563 · live from the CMS NPI Registry
Dr. James R. Long
Dentist, Orthodontics and Dentofacial Orthopedics in Peachtree City, GA. National Provider Identifier 1255762563, active.
NPI record
| NPI | 1255762563 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1280 Highway 74 S, 110, Peachtree City, GA 30269 |
| Practice phone | 770-461-9642 |
| Enumerated | December 12, 2013 |
| Last updated | December 12, 2013 |
| Authorized official | James Long, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 8203 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.