Organization
JEREMIAH LONG DMD PC
Active
Other names
Life Long Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH LONG D.M.D. (OWNER)
(203) 878-4757
Entity
Organization
Contact information
Practice address
1 CHERRY ST, MILFORD, CT 06460-3482
(203) 878-4757
(203) 874-9253
Mailing address
1 CHERRY ST, MILFORD, CT 06460-3482
(203) 878-4757
(203) 874-9253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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