Individual provider · Type 1 NPI
Michael Longo, DMD
Oral and Maxillofacial Surgery (Dentist) · East Haven, CT
NPI number
1821183377
Active
Practice location
310 Main Street
East Haven, CT 06512
Fax (203) 469-8058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 8159 (CT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1821183377
Michael Longo, DMD's National Provider Identifier is 1821183377, issued on Oct 3, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in East Haven, CT. The record was last updated on Jul 8, 2007.