DR. LARRY KEITH LONG DDS,MD
NPI 1275527137
Dentist - Oral and Maxillofacial Surgery in Panama City, FL

Q: What is Larry Long's NPI number?

The NPI number for Larry Long is 1275527137. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Larry Long's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Larry Long was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2005PECOS Enrolled

2624 JENKS AVE STE 1, PANAMA CITY, FL 32405(210) 667-5171 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2020, May 30, 2019 (2 updates tracked since 2019).

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About Dr. Larry Keith Long Dds,md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY KEITH LONG DDS,MD (NPI 1275527137) is an individual oral and maxillofacial surgery provider in Panama City, Florida, licensed in Texas (23649) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lackland A F B.

NPPES Registry Identity

NPI1275527137

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. LARRY KEITH LONGCredential: DDS,MD

Location Address2624 JENKS AVE STE 1Panama City, FL 32405

Mailing Address2624 Jenks Ave Ste 1Panama City, FL 32405-4311 · (210) 667-5171

Phone(210) 667-5171

Sole ProprietorNo

Enumeration DateSeptember 7, 2005

Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration

NPPES CertifiedNovember 30, 2020

✔ NPI 1275527137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in TX · 23649✔ Licensed in FL · DN23806✔ Licensed in NC · 6538

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License DN23806 (FL)

2624 JENKS AVE STE 1, Panama City, FL 32405

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Secondary Practice Location 1

Location 12200 Bergquist Dr, Suite 1Lackland A F B, TX 78236-9907 · Phone (210) 554-5215

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larry Keith Long Dds,md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Long's NPI number?

The NPI number for Larry Long is 1275527137. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Larry Long located?

Larry Long practices at 2624 Jenks Ave Ste 1, Panama City, FL 32405. The listed phone number is (210) 667-5171.

What is Larry Long's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Larry Long enrolled in Medicare?

Yes. Larry Long is registered in the Medicare PECOS enrollment system.

What insurance does Larry Long accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Larry Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Long was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.