James Enochs Long, DDS
Individual provider Active NPI General Practice Dentistry · Starkville, MS
NPI 1619084191 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619084191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 80356 (MS)
- Practice address
- 300 Greensboro St
Starkville, MS 39759 - Phone
- (662) 323-2876
- Fax
- (662) 323-4876
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80356 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 80356 | MS | Yes |
Addresses
Primary practice location
300 Greensboro St
Starkville, MS 39759
Mailing address
PO Box 907
Starkville, MS 39760-0907
Phone (662) 323-2876
Other providers in Starkville, MS
- Sarah M Lewis
- Lik DME & Medical Supplies, LLC
- William R Locke
- Geoffrey R Lockhart
- Tammi Taylor Lockhart
- Robert Ryan Looney
- Lindie Loper
- Chester Lott
- Emily Loupe
- Love Without Limits
All providers in Starkville, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.