Individual
DR. JOHN PHILLIP LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1600 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404
(205) 553-4550
(205) 554-4188
Mailing address
1600 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404
(205) 553-4550
(205) 554-4188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL3780
AL
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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