DR. BRIAN MICHAEL LONG


Address: 22100 Outer Dr, Dearborn, MI 48124-3932
Phone: 3135635855

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
016216 MI Dental Providers

Other Providers BRIAN LONG

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

Office Location

Street Address 22100 OUTER DR
City DEARBORN
State MI
Zip Code 48124-3932

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City DEARBORN
Zip Code 48124

Improve Information

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Dataset Information

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.

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