Giza & Associates DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901019134 Issued in MI

Legal business name

GIZA & ASSOCIATES DDS PLLC

Doing business as

Long Dental DDS

Practice address

15101 Ford Rd
Dearborn, MI 48126-4611

Phone

(313) 549-7374

Fax

(888) 788-6467

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Susan Marie Long, DDS

Title

Dentist

Phone

(313) 549-7374

Specialties & licenses 1

Addresses

Other names 1

• Long Dental DDS Doing business as

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1285091413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264611",
            "telephone_number": "313-549-7374",
            "fax_number": "888-788-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264611",
            "telephone_number": "313-549-7374",
            "fax_number": "888-788-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIZA & ASSOCIATES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-549-7374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901019134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Dental DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albino Felix Gimenez, M.D.
• Kelly J Gingras, PA-C
• James Robert Giordano, D.D.S.
• Sherry Girard
• Alyssa Kate Girardin, PAC
• Nadine Gizak
• Andrew Gladstone-Highland, LMSW
• Sara Glendinning, DO
• Albanei Glenn
• Craig S Glines, DO

• Dental Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.