Jerry J Long Dds Pa

Orthodontics and Dentofacial Clinic

 
240 Caldwell Dr, Hazlehurst
    Mississippi, 39083-2723

 601-894-4732    601-894-4732 Maps & Directions
Jerry J Long Dds Pa is a Orthodontics and Dentofacial Clinic in Hazlehurst, Mississippi. It is located at 240 Caldwell Dr, Hazlehurst, MS and its contact number is 601-894-4732. The authorized person for Jerry J Long Dds Pa is Dr. Jerry J Long who is President of the clinic and their contact number is 601-894-4732. Other organizations associated with this clinic are Jerry J Long Dds Pa, Gamblin Orthodontics Pllc, The primary license number for Jerry J Long Dds Pa is 925-59 (Orthodontics and Dentofacial Orthopedics) in Mississippi.
Jerry J Long Dds Pa Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Jerry J Long Dds Pa Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Jerry J Long Dds Pa
Specialization: Orthodontics and Dentofacial Orthopedics
Clinic Address:240 Caldwell Dr, Hazlehurst,
Mississippi, 39083-2723
Phone:601-894-4732
Fax:601-894-4732
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Dr. Jerry J Long
Position: President
Contact Number: 601-894-4732
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jerry J Long Dds Pa clinic are as mentioned below.
NPI Number: 1568784882
NPI Enumeration Date: 01 Mar, 2010
NPI Last Update On: 01 Mar, 2010
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization. Speciality of these organizations are also mentioned below.
NameSpecializationNPI Number
Jerry J Long Dds PaOrthodontics and Dentofacial Orthopedics 1568784882
Gamblin Orthodontics PllcOrthodontics and Dentofacial Orthopedics 1649586520
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry J Long Dds Pa are as mentioned below.
SpecializationLicense NumberStateStatus
Orthodontics and Dentofacial Orthopedics 925-59MississippiPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
09015478MedicaidMississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jerry J Long Dds Pa
Po Box 587,
Hazlehurst, Mississippi
Zip: 39083-0587
Phone Number: 601-894-4732
Fax Number: 607-894-4732
Patients can reach Jerry J Long Dds Pa at 240 Caldwell Dr, Hazlehurst, Mississippi or can call to book an appointment on 601-894-4732. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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