Long, Adam R
Long, Adam R is an sole proprietor health care provider with primary practice located at 65-1230 Mamalahoa Hwy Ste E21 , Kamuela HI 96743-8319. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Long, Adam R can be contacted via phone (808) 887-8801.Contact Information
Primary practice address
65-1230 Mamalahoa Hwy Ste E21
Kamuela HI 96743-8319
Phone: (808) 887-8801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | DT-2752 | Hawaii |
Profile Details
| NPI number | 1992275861 |
|---|---|
| LBN Legal business name | Long, Adam R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2018 |
| Last updated | Jan 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992275861 | NPPES |
| Hawaii | Other | DT-2752 | STATE LICENSE |
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