Life Long Dental Care of Tolland LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIFE LONG DENTAL CARE OF TOLLAND LLC

Practice address

630 Tolland Stage Rd
Tolland, CT 06084-2924

Phone

(860) 872-8551

Fax

(860) 871-8364

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jeremiah Jude Long, DMD

Title

Owner

Phone

(860) 872-8551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1710344627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 TOLLAND STAGE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842924",
            "telephone_number": "860-872-8551",
            "fax_number": "860-871-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 TOLLAND STAGE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842924",
            "telephone_number": "860-872-8551",
            "fax_number": "860-871-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LONG DENTAL CARE OF TOLLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-872-8551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Leibowitz, DPT
• Jaime O Lemek, D.C.
• Bethany Ann Lescoe
• Lebert F Lester III, MA
• Saundra Rae Leubner, OTR/L
• Marvelle Lisandra Lindo, APRN
• Deborah M. Lines
• Kathleen L Little, LCSW
• Gina Longo
• Geena Lovallo, LMFT

• General Practice Dentistry in Tolland, CT
• Providers in Tolland, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.