Dr Jerrod D Long, DDS in Bisbee, AZ - Dentist

Dr Jerrod D Long, DDS is a Dentist - General Practice based in Bisbee, Arizona. Dr Jerrod D Long is licensed to practice in Arizona (license number 5037) and his current practice location is #2 Naco Road, Bisbee, Arizona. He can be reached at his office (for appointments etc.) via phone at (520) 432-5370.

NPI number for Dr Jerrod D Long is 1356493829 and his current mailing address is #2 Naco Road, Box 1898, Bisbee, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356493829.

Contact Information

	Dr Jerrod D Long, DDS
	#2 Naco Road, Bisbee, AZ 85603-2898
	(520) 432-5370
	(520) 432-6658

Healthcare Provider's Profile

Full Name	Dr Jerrod D Long
Gender	Male
Speciality	Dentist - General Practice
Location	#2 Naco Road, Bisbee, Arizona
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1356493829
Provider Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jerrod D Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356493829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	5037 (Arizona)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerrod D Long is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jerrod D Long, DDS #2 Naco Road, Box 1898, Bisbee, AZ 85603-2898 Ph: (520) 432-5371	Dr Jerrod D Long, DDS #2 Naco Road, Bisbee, AZ 85603-2898 Ph: (520) 432-5370

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Dentist in Bisbee, AZ

Dr. Derrick Thor Johnston, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2 Naco Rd, Bisbee, AZ 85603
Phone: 520-432-5371 Fax: 520-432-6658

Dr Jerrod D Long, DDS - Dentist in Bisbee, AZ