Individual
DR. JOSEPH L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21 NORTHBROOK DR, FALMOUTH, ME 04105-1346
(207) 781-2328
Mailing address
21 NORTHBROOK DR, FALMOUTH, ME 04105-1346
(207) 781-2328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2225
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2225
DENTAL LICENSE NUMBER
ME
Enumeration date
06/21/2007
Last updated
07/08/2007
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