Individual
DR. ALAN L LONGFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7360 S MCCLINTOCK DR, TEMPE, AZ 85283-5001
(480) 838-6949
(480) 838-0092
Mailing address
7360 S MCCLINTOCK DR, TEMPE, AZ 85283-5001
(480) 838-6949
(480) 838-0092
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1559
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081274
AHCCCS ID
AZ
Enumeration date
11/06/2006
Last updated
07/08/2007
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