Individual
JAMES ENOCHS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 GREENSBORO ST, STARKVILLE, MS 39759
(662) 323-2876
(662) 323-4876
Mailing address
PO BOX 907, STARKVILLE, MS 39760-0907
(662) 323-2876
(662) 323-4876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
80356
MS
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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