IndividualActive
Jeremiah Long, DMD
NPI 1518168673 · Dentist · New Haven, CT
Jeremiah Long, DMD is a Dentist provider in New Haven, CT (NPI 1518168673).
Provider details
- NPI number
- 1518168673
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7944 (CT)
Practice location
921 State St
New Haven, CT 06511-3926
Phone: (203) 858-8292
Street-level locationGet directions
Mailing address
921 State St
New Haven, CT 06511-3926
Registry dates
- Enumerated
- 2007-05-29
- 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.