Organization
DANIEL E. LONG, DDS, LLC
Active
Other names
Long in the Tooth Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E LONG DDS (PRESIDENT)
(907) 435-9708
Entity
Organization
Contact information
Practice address
34115 STERLING HIGHWAY, ANCHOR POINT, AK 99556
(907) 226-3700
Mailing address
PO BOX 945, ANCHOR POINT, AK 99556-0945
(907) 226-3700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003506
—
AK
Enumeration date
04/20/2021
Last updated
04/20/2021
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