Diana Marie Long, DDS

Dentist · Madison, MS

Individual Active NPI

NPI number 1124391347

Practice location

504 Newbury Dr
Madison, MS 39110-4574
Phone
(256) 335-7042

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NPI record

NPI
1124391347
Entity type
Individual (Type 1)
Enumeration date
February 18, 2012
Last updated
November 28, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 3757 MS
Student in an Organized Health Care Education/Training Program 390200000X — —
Dentist 122300000X 6018 AL

About Dr. Long

Diana Marie Long, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 504 Newbury Dr, Madison, MS 39110-4574. The NPI number 1124391347 was assigned on February 18, 2012 and the record was last updated on November 28, 2016.

Dr. Long lists 2 licenses in the registry: #3757 (MS) for Dentist; #6018 (AL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Diana Marie Long, DDS?

The NPI number is 1124391347.

What is the phone number of Dr. Long?

The phone number listed for the practice location is (256) 335-7042.

Where is Dr. Long located?

504 Newbury Dr, Madison, MS 39110-4574.

What is the taxonomy code for Dr. Long?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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