# DANIEL E. LONG, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Long in the Tooth Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710568654
- **Authorized official:** DR. DANIEL E LONG DDS (PRESIDENT)
- **Authorized official phone:** (907) 435-9708

## Contact information

- **Practice address:** 34115 STERLING HIGHWAY, ANCHOR POINT, AK 99556
- **Practice address phone:** (907) 226-3700
- **Mailing address:** PO BOX 945, ANCHOR POINT, AK 99556-0945
- **Mailing address phone:** (907) 226-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2021
- **Last updated:** 04/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1003506 | — | AK |