DR. DENNIS SAGE LONG M.D. NPI 1891790846

NPI Information

NPI: 1891790846
Provider Name: DR. DENNIS SAGE LONG, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
488 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
Phone: (860) 444-2416
Get Directions

DR. Dennis Sage Long, M.D. is an adolescent medicine pediatrics in New London, CT. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Dennis Sage Long, M.D. NPI is 1891790846. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

488 MONTAUK AVE
NEW LONDON, CT
ZIP 06320-615
Phone: (860) 444-2416
Fax: (860) 444-0250

The enumeration date for this NPI number is 6/16/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	016734	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010016734CT03	OTHER	CONNECTICUT	BLUE CROSS
2	061734	OTHER	CONNECTICUT	CONNECTICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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