Patrick W Long in Shadyside - Dentist

Patrick W Long - NPI 1932295797

Patrick W Long is a Dentist in Shadyside, Ohio. Patrick W Long practices all healthcare services and medical treatments related to Dentist. The NPI Number for Patrick W Long is 1932295797. The last update date is 2012-08-08.

Patrick W Long's current location address is Po Box 147, Shadyside, Ohio. You can contact this provider via phone number 7406762604 and fax number 7406768714. The mailing address for Patrick W Long is Po Box 147, Shadyside, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick W Long
Address Po Box 147, Shadyside, Ohio
Phone Number 7406762604
Fax Number 7406768714
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1932295797
Provider Enumeration Date 2006-10-05
Last Updated Date 2012-08-08

Provider Mailing Address Detail

Address Po Box 147
City Shadyside
State Ohio (OH)
Post Code 439470147
Phone Number 7406762604
Fax Number 7406768714

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 17545
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
579066 OH --

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FAQs about Patrick W Long

What is the unique 10-digit identifier code assigned to Patrick W Long by the Centers for Medicare & Medicaid Services?

The Patrick W Long has been issued the NPI (National Provider Identifier) 1932295797 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Patrick W Long's facilities are situated?

The facilities of Patrick W Long are physically located at the following address: Po Box 147, Shadyside, OH, 439470147.

What is Patrick W Long's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Patrick W Long is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When did Patrick W Long receive its 1932295797 assignment?

The Patrick W Long was assigned its 1932295797 on 2006-10-05, which is the date when this unique identifier was issued to the organization.

When was the Patrick W Long's information last updated?

The Patrick W Long's information was last updated on 2012-08-08.

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