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

Dorian Grace Longshore, DMD

Individual provider General Practice Dentistry · NPI 1104355395

Dorian Grace Longshore, DMD is a General Practice Dentistry in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4799 Atlanta Hwy # 500
Loganville, GA 30052-7307
Phone: (404) 609-4661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN015430 (GA)

Record details

NPI number1104355395
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 9, 2017
Last updated in NPPESJune 9, 2017

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