W Roger Long in Fort Pierce - General Practice

W Roger Long - NPI 1063410462

W Roger Long is a General Practice in Fort Pierce, Florida. W Roger Long practices all healthcare services and medical treatments related to General Practice. The NPI Number for W Roger Long is 1063410462. The last update date is 2007-07-08.

W Roger Long's current location address is 1511 S 25th St, Fort Pierce, Florida. You can contact this provider via phone number 7724642943 and fax number 7724648801. The mailing address for W Roger Long is 1511 S 25th St, Fort Pierce, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name W Roger Long
Address 1511 S 25th St, Fort Pierce, Florida
Phone Number 7724642943
Fax Number 7724648801
Sole Proprietor X
Credentials --

NPI Number Detail

NPI Number 1063410462
Provider Enumeration Date 2005-07-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1511 S 25th St
City Fort Pierce
State Florida (FL)
Post Code 349474779
Phone Number 7724642943
Fax Number 7724648801

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN0009663
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about W Roger Long

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

The W Roger Long has been issued the NPI (National Provider Identifier) 1063410462 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 W Roger Long's facilities are situated?

The facilities of W Roger Long are physically located at the following address: 1511 S 25Th St, Fort Pierce, FL, 349474779.

What is the area of specialization for W Roger Long, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for W Roger Long is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date was the 1063410462 assigned to W Roger Long?

The W Roger Long was issued its 1063410462 on 2005-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to W Roger Long, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to W Roger Long, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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