DR. LARRY KEITH LONG (DDS,MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1275527137
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LARRY KEITH LONG (DDS,MD)
2200 Bergquist Dr
Suite 1
Lackland A F B, TX 782369907
Phone: (210) 554-5215
Type: Location
2624 JENKS AVE STE 1
PANAMA CITY, FL 32405
Phone: (210) 667-5171
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-27
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78236)
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