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Contact Information

KIMBERLY LONG, DDS
3118 N CROATAN HWY STE 102
KILL DEVIL HILLS, NC27948-9252
 Phone: 252-480-6646
 Fax: 252-480-2258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KIMBERLY LONG · (Female)

NPI Number 1679989354
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/02/2014
Last updated 02/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 10282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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