Robert W Long is a Pediatric Dentistry in Kokomo, Indiana. Robert W Long practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Robert W Long is 1659459667. The last update date is 2007-07-08.
Robert W Long's current location address is 2705 S Berkley, Kokomo, Indiana. You can contact this provider via phone number 7654532267 and fax number 7654531150. The mailing address for Robert W Long is 2705 S Berkley, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert W Long |
|---|---|
| Address | 2705 S Berkley, Kokomo, Indiana |
| Phone Number | 7654532267 |
| Fax Number | 7654531150 |
| Sole Proprietor | N |
| Credentials | DDS MSD |
NPI Number Detail
| NPI Number | 1659459667 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2705 S Berkley |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469028007 |
| Phone Number | 7654532267 |
| Fax Number | 7654531150 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12010170A |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12010170A | IN | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert W Long by the Centers for Medicare & Medicaid Services?
The Robert W Long has been assigned the NPI (National Provider Identifier) 1659459667 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Robert W Long?
The Robert W Long is physically situated at 2705 S Berkley, in the city of Kokomo, state of IN, with the postal code 469028007.
What is Robert W 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 Robert W Long is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659459667 to Robert W Long?
The Centers for Medicare & Medicaid Services originally issued the 1659459667 to Robert W Long on 2006-11-01.
When was the information pertaining to Robert W Long most recently updated or revised?
The details related to Robert W Long, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH