Organization
DR. CRAIG A. LONG, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A LONG D.D.S. (OWNER)
(573) 594-6166
Entity
Organization
Contact information
Practice address
106 S MAIN ST, VANDALIA, MO 63382-1806
(573) 594-6166
(573) 594-2472
Mailing address
106 S MAIN ST, VANDALIA, MO 63382-1806
(573) 594-6166
(573) 594-2472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013125
MO
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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