DR. BRIAN MICHAEL LONG (NPI# 1265503585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265503585 |
Entity Type | Individual |
Full Name | DR. BRIAN MICHAEL LONG |
Credential | D.D.S. |
Practice Address |
22100 Outer Dr Dearborn MI 48124-3932 |
Practice Telephone | 3135635855 |
Practice Fax Number | 3135635865 |
Mailing Telephone | 3135635855 |
Mailing Fax Number | 3135635865 |
Enumeration Date | 2006-11-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
016216 | MI | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093268039 | Brian Long | Behavioral Analyst | 751a Camino Plz, San Bruno, CA 94066-3401 | 2016-07-26 |
1013925189 | Brian D Long | Physical Therapist | 10700 Sapp Brothers Dr, Omaha, NE 68138-3823 | 2006-08-04 |
1760446181 | Brian D Long | Ophthalmology | 340 Brandywine Blvd, Fayetteville, GA 30214-1562 | 2006-04-13 |
1134110257 | Brian Mckinley Long | Surgery | 5425 W Spring Creek Pkwy Ste 140, Plano, TX 75024-4318 | 2005-10-31 |
1962023879 | Brian Timothy Long | Counselor | 413 E Dixie Ave Ste 106, Elizabethtown, KY 42701-1162 | 2020-05-01 |
1669953345 | Brian Richard Long | Pharmacist | 1945 W Palmetto St Unit 32, Florence, SC 29501-3918 | 2018-08-22 |
1962953471 | Brian Long | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-2115 | 2016-10-19 |
1972909422 | Brian Long | Community Health Worker | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2014-11-11 |
1093052144 | Brian Long | Pharmacist | 51 E Paulding Dr, Dallas, GA 30157-7190 | 2013-01-09 |
1629336276 | Brian Pandit Long | Pediatrics | 6303 Little River Tpke Ste 300, Alexandria, VA 22312 | 2012-05-01 |
Street Address |
22100 OUTER DR |
City | DEARBORN |
State | MI |
Zip Code | 48124-3932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518316306 | Daniel Blazo | Dentist | 22100 Outer Dr, Dearborn, MI 48124-3932 | 2016-06-13 |
1306971478 | Gary Claude Veraghen | Dentist | 22100 Outer Dr, Dearborn, MI 48124-3932 | 2007-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
Find all providers in zip 48124 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962059782 | Care Dental Family Pllc | Dentist | 5237 Oakman Blvd Ste A, Dearborn, MI 48126-4045 | 2019-08-26 |
1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
1467942219 | Mahmoud Farhat | Dentist | 18590 Outer Dr, Dearborn, MI 48128 | 2018-05-17 |
1720587876 | Smile Dental Care Pllc | Dentist | 9550 Dix Ste D, Dearborn, MI 48120-1529 | 2018-02-05 |
1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
1790228799 | Nidal Hammoud Dds. Pllc | Dentist | 6150 Greenfield Rd Ste 100, Dearborn, MI 48126-6003 | 2016-11-22 |
1568875854 | Dina Elhout | Dentist | 430 N Telegraph Rd, Dearborn, MI 48128-1619 | 2014-06-04 |
1790084549 | Brite Smile Dentistry PC | Dentist | 10645 W Warren Ave Ste 100, Dearborn, MI 48126-8009 | 2011-03-18 |
1770890287 | Dolly Jean Gharib | Dentist | 117 Lake Village Blvd, Apt. 303, Dearborn, MI 48120-1653 | 2010-09-03 |
1295905065 | Julius Frank Chikos | Dentist | 21775 Wildwood Street, Dearborn, MI 48128 | 2008-03-07 |
Find all providers in DEARBORN |
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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.