Long, Dennis Sage

Long, Dennis Sage is an sole proprietor health care provider with primary practice located at 488 Montauk Ave , New London CT 06320-4615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Long, Dennis Sage can be contacted via phone (860) 444-2416.

Contact Information

Primary practice address
488 Montauk Ave New London CT 06320-4615
Phone: (860) 444-2416
Fax: (860) 444-0250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 016734 Connecticut

Profile Details

NPI number 1891790846
LBN Legal business name Long, Dennis Sage
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891790846 NPPES
Connecticut Other 061734 CONNECTICARE
Connecticut Other 010016734CT03 CONNECTICARE

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