Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAWN RAY LONG, DDS
ActiveDR. SHAWN RAY LONG, DDS is a Dentist healthcare provider located in SOUTH BEND, Indiana. NPI 1194892778 is currently active in the NPPES registry. Verify at CMS.
Dentist · SOUTH BEND, IN
Registration Details
- NPI Number
- 1194892778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.910141105008 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12009672 (IN)
Practice Information
- Address
-
16329 STATE RD 23SOUTH BEND, IN, 46635Browse IN providers · Browse ZIP 46635
- Phone
- 5742438843
- Fax
- 5742438845
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID M. FOLLIS | D.D.S. | 1457345688 |
| DR. THOMAS J ALLEN | D.D.S. | 1679567739 |
| TRACY LYNN BACON | DDS | 1023099959 |
| DR. LORI F RISSER | DR | 1437262847 |
| DR. MICHAEL JOHN BUCZOLICH JR. | DDS | 1962510362 |
| DR. MARTIN RALPH SZAKALY | D.D.S. | 1750466280 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.