Organization
LANCASTER CLEFT PALATE CLINIC
Active
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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