Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LONGEVITY DENTAL
Active
Organization
LONGEVITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G EVANS (SOLE MBR)
(972) 771-0977
Entity
Organization
Contact information
Practice address
510 TURTLE COVE BLVD STE 107, ROCKWALL, TX 75087-5374
(972) 771-0977
Mailing address
510 TURTLE COVE BLVD STE 107, ROCKWALL, TX 75087-5374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17186
TX
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers