Edwin U Long in Harrisonville - Dentist

Edwin U Long - NPI 1104802701

Edwin U Long is a Dentist in Harrisonville, Missouri. Edwin U Long practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edwin U Long is 1104802701. The last update date is 2007-07-08.

Edwin U Long's current location address is 1503 E Pearl St, Harrisonville, Missouri. You can contact this provider via phone number 8163804029 and fax number 8163806522. The mailing address for Edwin U Long is 1503 E Pearl St, Harrisonville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Edwin U Long
Address 1503 E Pearl St, Harrisonville, Missouri
Phone Number 8163804029
Fax Number 8163806522
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1104802701
Provider Enumeration Date 2005-12-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1503 E Pearl St
City Harrisonville
State Missouri (MO)
Post Code 64701
Phone Number 8163804029
Fax Number 8163806522

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 13126
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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FAQs about Edwin U Long

What is the unique identifier code issued to Edwin U Long by the Centers for Medicare & Medicaid Services?

The Edwin U Long has been assigned the NPI (National Provider Identifier) 1104802701. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Edwin U Long's facilities are situated?

The facilities of Edwin U Long are physically located at the following address: 1503 E Pearl St, Harrisonville, MO, 64701.

What is the Edwin U Long's specialty and taxonomy code?

The Edwin U Long's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did Edwin U Long receive its 1104802701 assignment from the Centers for Medicare & Medicaid Services?

The Edwin U Long was assigned its 1104802701 on 2005-12-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Edwin U Long most recently updated or revised?

The information pertaining to Edwin U Long, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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