Dr. Dennis Sage Long
M.D. | Pediatric Adolescent Medicine | Male
Dr. Dennis Sage Long, M.D. is a New London, Connecticut based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Dennis Sage Long is
488 Montauk Ave, New London, Connecticut - 06320-4615. He can be contacted on phone at
860-444-2416 and fax number 860-444-0250.
Dr. Dennis Sage Long is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Dennis Sage Long is
1891790846 which was assigned by NPPES on 16 Jun, 2005 and it was last updated on 08 Jul, 2007.
Dr. Dennis Sage Long license number is
016734 for Pediatrics Adolescent Medicine (2080A0000X) in Connecticut.
Dr. Dennis Sage Long specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Dennis Sage Long basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dr. Dennis Sage Long |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Dennis Sage Long address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 488 Montauk Ave
New London, CT, 06320-4615
United States |
|---|
| Phone Number : | 860-444-2416 |
|---|
| Fax Number : | 860-444-0250 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891790846 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 16 Jun, 2005 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dennis Sage Long are as mentioned. Primary taxonomy code for Dr. Dennis Sage Long, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 016734 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Dennis Sage Long such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 010016734CT03 | Other | CT | BLUE CROSS |
| 061734 | Other | CT | CONNECTICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 488 Montauk Ave
New London, CT, 06320-4615
United States |
|---|
| Phone Number : | 860-444-2416 |
|---|
| Fax Number : | 860-444-0250 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Dennis Sage Long practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.