Organization
JERRY J LONG DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY J LONG DDS (PRESIDENT)
(601) 894-4732
Entity
Organization
Contact information
Practice address
240 CALDWELL DR, HAZLEHURST, MS 39083-2723
(601) 894-4732
(601) 894-4732
Mailing address
PO BOX 587, HAZLEHURST, MS 39083-0587
(601) 894-4732
(607) 894-4732
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
925-59
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015478
—
MS
Enumeration date
03/01/2010
Last updated
03/01/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us