Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB DANIEL LONG, DDS, MSD
Active Sole ProprietorDR. JACOB DANIEL LONG, DDS, MSD is a Endodontics healthcare provider located in JASPER, Indiana. NPI 1710335401 is currently active in the NPPES registry. Verify at CMS.
Endodontics · JASPER, IN
Registration Details
- NPI Number
- 1710335401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2016 (10.16952770962 yrs)
- Last Updated
- Sep 21, 2021
- License
-
1202497A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1950 SAINT CHARLES ST STE 6JASPER, IN, 475469172Browse IN providers · Browse ZIP 47546
- Phone
- 8124827668
- Primary Specialty
-
Endodontics
1223E0200X
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.