Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diana Marie Long, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124391347

Diana Marie Long, DDS is a Student in an Organized Health Care Education/Training Program in Madison, Mississippi. Licensed in Alabama and Mississippi. Registered with an NPI since 2012.

Licensed in
AL, MS
In the registry since
2012
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

504 Newbury Dr
Madison, MS 39110-4574
Phone: (256) 335-7042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3757 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dentist Taxonomy 122300000X · Licence 6018 (AL)

Record details

NPI number1124391347
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 18, 2012
Last updated in NPPESNovember 28, 2016

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