Organization · Type 2 NPI
Jacob R. Long, Dds, PLLC
Dental Clinic/Center · Wilmington, NC
NPI number
1093294076
Active
Practice location
736 Medical Center Dr Ste 101
Wilmington, NC 28401-4284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 10411 (NC) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1093294076
Jacob R. Long, Dds, PLLC's National Provider Identifier is 1093294076, issued on Aug 9, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wilmington, NC. The record was last updated on Aug 9, 2018.