Individual
DR. NICHOLAS MAKANA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1991 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6225
(405) 737-6622
(405) 733-2250
Mailing address
1991 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6225
(405) 737-6622
(405) 733-2250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8129
OK
Other
Enumeration date
07/02/2025
Last updated
07/21/2026
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