Sam Jerry Long D.D.S.

NPI 1033113915 - Dentist - 1223G0001X

NPI Details
NPI 1033113915
Gender Male
Enumeration Date 06/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6550 FANNIN ST
STE 2103
HOUSTON TX, 77030-2722, US
Phone (713) 797-0846
Fax (713) 797-1314
Business Location
6550 FANNIN ST
STE 2103
HOUSTON TX, 77030-2722, US
Phone (713) 797-0846
Fax (713) 797-1314
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 8307
Remove 1033113915 NPI Number
 

According to our database, Dr. Sam Jerry Long D.D.S. NPI is 1033113915, taxonomy code is 1223G0001X and license number is 8307, license state is located at Texas. Sam Jerry Long D.D.S. physically located at 6550 Fannin St, Houston TX, 77030-2722. NPI Number Sam Jerry Long D.D.S. has the Individual type.

Sponsored links

1033113915 NPI number is provided on an as is basis without warranty of any kind. 1033113915 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Jerry Long D.D.S. are for informational purposes only.