Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY KEITH LONG, DDS,MD
ActiveDR. LARRY KEITH LONG, DDS,MD is a Oral & Maxillofacial Surgery healthcare provider located in PANAMA CITY, Florida. NPI 1275527137 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PANAMA CITY, FL
Registration Details
- NPI Number
- 1275527137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (20.895374948164 yrs)
- Last Updated
- Nov 30, 2020
- Licenses
-
6538 (NC)DN23806 (FL)DN23806 (FL)23649 (TX)
Practice Information
- Address
-
2624 JENKS AVE STE 1PANAMA CITY, FL, 32405Browse FL providers · Browse ZIP 32405
- Phone
- 2106675171
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery
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.