Longo Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0017181 Issued in MA

Legal business name

LONGO DENTAL ASSOCIATES, P.C.

Practice address

1037 Beacon St Apt 2
Brookline, MA 02446-5640

Phone

(617) 738-7210

Fax

(617) 738-2930

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Maria Lourdes Longo, D.M.D.

Title

President

Phone

(617) 738-7210

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1083882716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 BEACON ST APT 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465640",
            "telephone_number": "617-738-7210",
            "fax_number": "617-738-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 BEACON ST APT 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465640",
            "telephone_number": "617-738-7210",
            "fax_number": "617-738-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGO DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-738-7210",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "0017181",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21390",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "18432",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "17415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanna Llamas, PSYD
• Joanne Catherine Lloyd
• Gary Ronald Login, DMD, DMSC.
• Wayne M. London, D.C.
• Kristin Ann Long, PHD
• Dan L. Longo, M.D.
• Maria Lourdes Longo, D.M.D.
• Longwood Dental Group
• Longwood Dental PLLC (Boston Smile Center)
• Longwood Dental PLLC (Longwood Dental Group)

• General Practice Dentistry in Brookline, MA
• Providers in Brookline, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.