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Organization

LANCASTER CLEFT PALATE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSS EUGENE LONG JR. DMD, MS, PHD (EXECUTIVE DIRECTOR)
(717) 394-3793
Entity
Organization

Contact information

Practice address
223 N LIME ST, LANCASTER, PA 17602-2748
(717) 394-3793
(717) 396-7409
Mailing address
223 N LIME ST, LANCASTER, PA 17602-2748
(717) 394-3793
(717) 396-7409

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
DS013902L
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS018611
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS035366
PA

Other

Enumeration date
07/20/2006
Last updated
09/11/2025
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