Individual
MICHAEL D. LONGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1125 E CLEVELAND AVE, SAPULPA, OK 74066-4641
(918) 224-9310
(918) 224-9314
Mailing address
1801 E 4TH ST, OKMULGEE, OK 74447-3942
(918) 756-3334
(918) 756-4949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
844
OK
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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