IndividualActive
Jerrod Long, D.D.S.
NPI 1356493829 · General Practice Dentistry · Bisbee, AZ
Provider details
- NPI number
- 1356493829
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5037 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
#2 Naco Road
Bisbee, AZ 85603-2898
Phone: (520) 432-5370
Fax: (520) 432-6658
Street-level locationGet directions
Mailing address
#2 Naco Road
Bisbee, AZ 85603-2898
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.