Individual provider · Type 1 NPI

Dorian Grace Longshore, DMD

General Practice Dentistry · Loganville, GA

NPI number 1104355395 Active

Practice location

4799 Atlanta Hwy # 500
Loganville, GA 30052-7307

Mailing address

1746 Holmes Dr SW
Conyers, GA 30094-4726

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN015430 (GA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104355395

Dorian Grace Longshore, DMD's National Provider Identifier is 1104355395, issued on Jun 9, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Loganville, GA. The record was last updated on Jun 9, 2017.