DR. ROBERT EARL LONG SR. (NPI# 1437332160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437332160 |
| Entity Type | Individual |
| Full Name | DR. ROBERT EARL LONG SR. |
| Credential | DDS |
| Practice Address |
527 Desoto Ave Clarksdale MS 38614-5216 |
| Practice Telephone | 6626272565 |
| Practice Fax Number | 6626272524 |
| Mailing Telephone | 6626272565 |
| Mailing Fax Number | 6626272524 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 186980 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00064885 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482672 | Robert Long | Case Management | 320 S Ridge Rd, Silver City, NM 88061-6610 | 2020-03-19 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1992148720 | Robert James Long | Student in an Organized Health Care Education/Training Program | 34800 Bob, San Diego, CA 92134-0001 | 2013-04-11 |
| 1780953380 | Robert Long | Emergency Medicine | 6016 Driftwood Ave, Ras Tanura, EASTERN PROVINCE 31311 | 2011-12-28 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1588877500 | Robert Michael Long | Dentist | 4359 Kukui Grove St, #104, Lihue, HI 96766-2008 | 2007-05-07 |
| 1508908880 | Robert Wayne Long | Specialist | 10215 214th Ave E, Bonney Lake, WA 98391-3909 | 2007-02-13 |
| 1194861328 | Robert W Long | Technician/Technologist | 240 Commonwealth Blvd W Ste 108, Martinsville, VA 24112-1841 | 2007-01-29 |
| 1649283334 | Robert Gene Long | Contractor | 1899 -116th Ave Ne, Bellevue, WA 98004 | 2006-08-14 |
| 1407870272 | Robert Helton Long | Physical Medicine & Rehabilitation | 1400 Madison Ave Ste 402, Mankato, MN 56001-5476 | 2006-07-26 |
| Street Address |
527 DESOTO AVE |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215245667 | Matthew Joe Chow | Dentist | 705 S Choctaw St, Clarksdale, MS 38614-4810 | 2010-09-20 |
| 1811050313 | Long Family Dentistry Inc | Dentist | 527 Desoto Avenue, Clarksdale, MS 38614 | 2006-12-18 |
| 1790875912 | Bryant Hirsberg | Dentist | 785 Ohio Ave Ste 3h, Clarksdale, MS 38614-6215 | 2006-10-16 |
| 1164524328 | R Ted Roberts Dds Pa | Dentist | 632 Friars Point Road, Clarksdale, MS 38614 | 2006-09-01 |
| 1336689199 | Mjc Dental, Pllc | Dentist | 705 S Choctaw St, Clarksdale, MS 38614-4810 | 2017-02-27 |
| 1861832446 | Twinkle Anand | Dentist | 526 S Choctaw St, Ste B & C, Clarksdale, MS 38614-4807 | 2013-06-27 |
| 1104108612 | Austin Poole, Dmd, Pllc | Dentist | 705 S Choctaw St, Clarksdale, MS 38614-4810 | 2011-09-12 |
| 1710111034 | Jerry Deane Tankersley | Dentist | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2009-05-14 |
| 1952577835 | Chester L. Layne | Dentist | 510 Highway 322, P O Drawer 1216, Clarksdale, MS 38614-4717 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918278 | Lincoln Dental Arts, Pllc | Dentist | 4301 Lincoln Rd # 20, Hattiesburg, MS 39402-3036 | 2020-09-30 |
| 1528671971 | Arthur Cooper | Dentist | 3999 N Gloster St Ste D, Tupelo, MS 38804-0950 | 2020-08-26 |
| 1124630462 | Elite Practice Management | Dentist | 7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971 | 2020-08-18 |
| 1568071975 | Patrick Burns | Dentist | Tallahatchie County Correctional, 415 Us 49, Tutwiler, MS 38963 | 2020-07-31 |
| 1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
| 1841815362 | Payalben Baldev Patel | Dentist | 117 Fontanelle Blvd, Madison, MS 39110-6846 | 2020-06-10 |
| 1760003644 | Phillip John Sheridan | Dentist | Keesler Air Force Base, 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-01 |
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1972146728 | David M. Perez, Dmd, P.C. | Dentist | 4600 Hardy St Ste 31a, Hattiesburg, MS 39402-1349 | 2019-10-24 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
Please comment or provide details below to improve the information on DR. ROBERT EARL LONG SR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.