Individual
BENJAMIN LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1702 US HIGHWAY 70 E, NEW BERN, NC 28560-6857
(252) 638-3600
Mailing address
39 BROADWAY STE 3, BEVERLY, MA 01915-4487
(978) 927-5247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12204
NC
1223G0001X
General Practice Dentistry
Primary
DN1859652
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
10/28/2024
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