Robert Earl Long is a Dentist in Clarksdale, Mississippi. Robert Earl Long practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Earl Long is 1437332160. The last update date is 2007-12-17.
Robert Earl Long's current location address is 527 Desoto Ave, Clarksdale, Mississippi. You can contact this provider via phone number 6626272565 and fax number 6626272524. The mailing address for Robert Earl Long is 527 Desoto Ave, Clarksdale, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Earl Long |
|---|---|
| Address | 527 Desoto Ave, Clarksdale, Mississippi |
| Phone Number | 6626272565 |
| Fax Number | 6626272524 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1437332160 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 527 Desoto Ave |
|---|---|
| City | Clarksdale |
| State | Mississippi (MS) |
| Post Code | 386145216 |
| Phone Number | 6626272565 |
| Fax Number | 6626272524 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 186980 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64885 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Robert Earl Long by the Centers for Medicare & Medicaid Services?
The Robert Earl Long has been issued the NPI (National Provider Identifier) 1437332160. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Robert Earl Long's facilities are situated?
The facilities of Robert Earl Long are physically located at the following address: 527 Desoto Ave, Clarksdale, MS, 386145216.
What is Robert Earl Long's area of expertise and its corresponding taxonomy classification?
The Robert Earl Long's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did the Robert Earl Long receive its 1437332160?
The Robert Earl Long was issued its 1437332160 on 2007-12-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Robert Earl Long most recently updated or revised?
The information pertaining to Robert Earl Long, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-17.
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