OrganizationActive
Jerry J Long DDS PA
NPI 1568784882 · Orthodontics and Dentofacial Orthopedics Dentistry · Hazlehurst, MS
Provider details
- NPI number
- 1568784882
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jerry Long, President(601) 894-4732
- License
- 925-59 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
240 Caldwell Dr
Hazlehurst, MS 39083-2723
Phone: (601) 894-4732
Fax: (601) 894-4732
Street-level locationGet directions
Mailing address
Po Box 587
Hazlehurst, MS 39083-0587
Registry dates
- Enumerated
- 2010-03-01
- Last updated
- 2010-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.