Individual
DR. EULESS HARRISON LONG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
25 CAMBRIDGE DR, WETUMPKA, AL 36093-1258
(334) 567-2828
(334) 567-5434
Mailing address
760 WINDING WOOD DR, WETUMPKA, AL 36093-1681
(334) 514-0763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4856
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4856
STATE LICENSE
AL
Enumeration date
10/10/2006
Last updated
04/09/2019
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