Jana L Long, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5544 Issued in AZ

Practice address

350 S Willard St
Cottonwood, AZ 86326-4102

Phone

(928) 634-8292

Fax

(928) 634-7931

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signature Arizona Dental Partners LLC

  dba Family Dentistry of Buckeye

  • Dental Clinic/Center
  • Tempe, AZ
  • NPI 1104395094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083784722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264102",
            "telephone_number": "928-634-8292",
            "fax_number": "928-634-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264102",
            "telephone_number": "928-634-8292",
            "fax_number": "928-634-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee M. Livas
• Joy A Livingston, LCSW
• Ian R Livingstone, M.D.
• Melanie Lohmiller
• Daniel Anthony Lomas, DO, MA
• Earl Lord, D.D.S.
• Donna M Lucas, R.D,L.D.
• Roger H Lucier, PT
• Jennifer Lyonnais, MS, CF-SLP
• Todd M Lyonnais, P.T.

• General Practice Dentistry in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.