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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LONG MUGIANTO, D.M.D.

Active

DR. LONG MUGIANTO, D.M.D. is a Dentist healthcare provider located in DALLAS, Texas. NPI 1942529425 is currently active in the NPPES registry. Verify at CMS.

Dentist · DALLAS, TX

Registration Details

NPI Number
1942529425
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2010 (16.215486539742 yrs)
Last Updated
Jan 14, 2012
Licenses
DS038251 (PA)
27450 (TX)

Practice Information

Address
3400 LOMBARDY LN STE 100
DALLAS, TX, 752203315
Browse TX providers · Browse ZIP 75220
Phone
2143505333
Fax
2143508555
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in DALLAS, TX

Name Credential NPI
DR. KENNETH ANTHONY BOLIN D.D.S. 1255334140
DR. DONALD EDWARD HAYES D.D.S. 1184628976
DR. JOE EARL FRIEDMAN D.D.S. 1639177868
DR. WILLIAM BRUCE SHERRILL D.D.S. 1043212046
DR. DEBRA CORBIN FRANKFURT DDS 1487656252
DR. ROBERT ALLEN SHAW D.D.S. 1689676322
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.