William Randall Long in Indianapolis - Pediatric Dentistry
William Randall Long - NPI 1598775868
William Randall Long is a Pediatric Dentistry in Indianapolis, Indiana. William Randall Long practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for William Randall Long is 1598775868. The last update date is 2007-07-08.
William Randall Long's current location address is 9602 E Washington St, Indianapolis, Indiana. You can contact this provider via phone number 3178995437 and fax number 3178970771. The mailing address for William Randall Long is 9602 E Washington St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Randall Long |
|---|---|
| Address | 9602 E Washington St, Indianapolis, Indiana |
| Phone Number | 3178995437 |
| Fax Number | 3178970771 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1598775868 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9602 E Washington St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462294504 |
| Phone Number | 3178995437 |
| Fax Number | 3178970771 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12006619 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 429256 | IN | UNITED CONCORDIA | |
| 145620 | IN | CSHCS |
Post Comment/ Review Below
What is the unique provider identifier assigned to William Randall Long?
The William Randall Long has been issued the NPI (National Provider Identifier) 1598775868 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where William Randall Long is geographically located?
The William Randall Long is physically situated at the following location: 9602 E Washington St, Indianapolis, IN, 462294504.
What is William Randall Long's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for William Randall Long is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When did the William Randall Long receive its 1598775868?
The William Randall Long was issued its 1598775868 on 2006-08-09, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to William Randall Long most recently updated or revised?
The details related to William Randall Long, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.