Dr Shawn Ray Long, DDS in South Bend, IN - Dentist

Dr Shawn Ray Long, DDS is a Dentist based in South Bend, Indiana. Dr Shawn Ray Long is licensed to practice in Indiana (license number 12009672) and his current practice location is 16329 State Rd 23, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 243-8843.

NPI number for Dr Shawn Ray Long is 1194892778 and his current mailing address is 16329 State Rd 23, South Bend, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194892778.

Contact Information

	Dr Shawn Ray Long, DDS
	16329 State Rd 23, South Bend, IN 46635
	(574) 243-8843
	(574) 243-8845

Healthcare Provider's Profile

Full Name	Dr Shawn Ray Long
Gender	Male
Speciality	Dentist
Location	16329 State Rd 23, South Bend, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1194892778
Provider Enumeration Date: 11/29/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Shawn Ray Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194892778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12009672 (Indiana)	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 Shawn Ray 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 Shawn Ray Long, DDS 16329 State Rd 23, South Bend, IN 46635 Ph: (574) 243-8843	Dr Shawn Ray Long, DDS 16329 State Rd 23, South Bend, IN 46635 Ph: (574) 243-8843

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Dentist in South Bend, IN

Dr. Richard Cohen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 E Lasalle Ave, South Bend, IN 46617 Phone: 574-245-7501 Fax: 574-245-7502
Dr. Eugene Michael Feltman, DDS., MSD Dentist Medicare: Medicare Enrolled Practice Location: 225 N Notre Dame Ave, Suite 2, South Bend, IN 46617 Phone: 574-232-5866
Dr. Bradley Richard Swanson, DDS MSD Dentist Medicare: Medicare Enrolled Practice Location: 54505 26th Street, Unit E, South Bend, IN 46635 Phone: 574-807-9050
Dr. Russell A Murphy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1329 N Ironwood Drive, South Bend, IN 46615 Phone: 574-271-7500 Fax: 574-271-6052
Tracy Lynn Bacon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 906 E Washington St, South Bend, IN 46617 Phone: 574-282-1390 Fax: 574-282-1394
Dr. Himabindu Gogeneni, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3575 Portage Ave Ste A, South Bend, IN 46628 Phone: 574-349-2073
Dr. Robert S. Austgen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 E Lasalle Ave, South Bend, IN 46617 Phone: 574-245-7501 Fax: 574-245-7502

Dr Shawn Ray Long, DDS - Dentist in South Bend, IN