Sam Jerry Long is a General Practice in Houston, Texas. Sam Jerry Long practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sam Jerry Long is 1033113915. The last update date is 2007-07-08.
Sam Jerry Long's current location address is 6550 Fannin St, Houston, Texas. You can contact this provider via phone number 7137970846 and fax number 7137971314. The mailing address for Sam Jerry Long is 6550 Fannin St, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam Jerry Long |
|---|---|
| Address | 6550 Fannin St, Houston, Texas |
| Phone Number | 7137970846 |
| Fax Number | 7137971314 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1033113915 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6550 Fannin St |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 7703027220 |
| Phone Number | 7137970846 |
| Fax Number | 7137971314 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8307 |
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Definition: 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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What is the unique provider identifier assigned to Sam Jerry Long?
The Sam Jerry Long has been issued the NPI (National Provider Identifier) 1033113915 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Sam Jerry Long is physically located?
The Sam Jerry Long is physically situated at the following address: 6550 Fannin St, Houston, TX, 7703027220.
What is Sam Jerry Long's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sam Jerry Long's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033113915 to Sam Jerry Long?
The Centers for Medicare & Medicaid Services assigned the 1033113915 to Sam Jerry Long on 2005-06-09.
When was the information related to Sam Jerry Long most recently updated or refreshed?
The details pertaining to the Sam Jerry Long, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1720081763
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