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Jacob R. Long, Dds, Pllc
Dental Clinic/Center in Wilmington, North Carolina
NPI 1093294076

Jacob R. Long, Dds, Pllc is a Dental Clinic/Center based in Wilmington, NC and is specialized in Dental. Jacob R. Long, Dds, Pllc practices in Wilmington, NC. The NPI Number for Jacob R. Long, Dds, Pllc is 1093294076 and holds a License No. 10411 (North Carolina).

The current practice location address for Jacob R. Long, Dds, Pllc is 736 Medical Center Dr Ste 101, Wilmington, NC and can be reached out via phone at 910-762-0255.

Location: 736 Medical Center Dr Ste 101, Wilmington, NC, 28401-4284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093294076
Provider Name
Jacob R. Long, Dds, Pllc
Credential
Provider Entity Type
Organization
Address
736 Medical Center Dr Ste 101, Wilmington, NC, 28401-4284
Phone Number
910-762-0255
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
736 Medical Center Dr Ste 101
City
Wilmington
State
North Carolina
Zip
28401-4284
Phone Number
910-762-0255
Fax Number
person
Provider Business Mailing Address Details
Address
736 Medical Center Dr Ste 101
City
Wilmington
State
North Carolina
Zip
28401-4284
Phone Number
910-762-0255
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
10411 (North Carolina)
Definition
Definition to come...
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