MEDICARE: DR. ALFRED T LONGO DDS, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	4694	NE

General Provider Information

NPI Number	:	1982723656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED T LONGO DDS, MS

Provider Business Mailing Address
First Line	:	1710 N 144TH ST
Second Line	:	SUITE A
City	:	OMAHA
State	:	NE
Zip	:	68154-4715
Country	:	US
Telephone Number	:	402-496-9733
Fax Number	:	402-493-5975

Provider Business Practice Location Address
First Line	:	1710 N 144TH ST
Second Line	:	SUITE A
City	:	OMAHA
State	:	NE
Zip	:	68154-4715
Country	:	US
Telephone Number	:	402-431-9446
Fax Number	:	402-493-5975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1578663175 — MRS. MARY D. BYRD LMHP, PC, LIMHP
Practice Location Address:

1710 N 144TH ST
OMAHA, NE
68154-4715

Practice Phone: 402-651-4673
Practice Fax:

1700923240 — STEPHANIE ANN LEVY LMHP
Practice Location Address:

1710 N 144TH ST STE 2
OMAHA, NE
68154-4715

Practice Phone: 402-403-9890
Practice Fax:

1477700037 — MEGHANN MARIE DIETZ D.D.S., M.S.
Practice Location Address:

1710 N 144TH ST
OMAHA, NE
68154-4715

Practice Phone: 402-496-9733
Practice Fax:

1407158249 — MRS. MELISA MALONE BARNES LMHP
Practice Location Address:

1710 N 144TH ST
OMAHA, NE
68154-4715

Practice Phone: 402-968-6692
Practice Fax:

1548564339 — PEGGY BERTUCCI LMHP, NCC
Practice Location Address:

1710 N 144TH ST
OMAHA, NE
68154-4715

Practice Phone: 402-885-3690
Practice Fax: 402-614-6174

Directions to “ DR. ALFRED T LONGO DDS, MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.