DR. LARRY KEITH LONG DDSMD NPI 1275527137

NPI Information

NPI: 1275527137
Provider Name: DR. LARRY KEITH LONG, DDS,MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2624 JENKS AVE STE 1
PANAMA CITY, FL
ZIP 32405
Phone: (210) 667-5171
Get Directions

DR. Larry Keith Long, DDS,MD is an oral and maxillofacial surgery dentist in Panama City, FL. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Larry Keith Long, DDS,MD NPI is 1275527137. 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:

2624 JENKS AVE STE 1
PANAMA CITY, FL
ZIP 32405
Phone: (210) 667-5171

The enumeration date for this NPI number is 9/7/2005 and was last updated on 11/30/2020.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	23649	TEXAS	Yes
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DN23806	FLORIDA	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	6538	NORTH CAROLINA	No
4	204E00000X	Oral & Maxillofacial Surgery		DN23806	FLORIDA	No

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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