Dr. Evan G. Long in Concord - Pediatric Dentistry
Dr. Evan G. Long - NPI 1386659258
Dr. Evan G. Long is a Pediatric Dentistry in Concord, North Carolina. Dr. Evan G. Long practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dr. Evan G. Long is 1386659258. The last update date is 2007-09-25.
Dr. Evan G. Long's current location address is 5641 Poplar Tent Rd, Concord, North Carolina. You can contact this provider via phone number 7047952300 and fax number 7047952301. The mailing address for Dr. Evan G. Long is 5641 Poplar Tent Rd, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. Evan G. Long |
|---|---|
| Address | 5641 Poplar Tent Rd, Concord, North Carolina |
| Phone Number | 7047952300 |
| Fax Number | 7047952301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Long G. Evan |
| Credentials | DDS |
| Telephone Number | 7047952300 |
NPI Number Detail
| NPI Number | 1386659258 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 5641 Poplar Tent Rd |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280277533 |
| Phone Number | 7047952300 |
| Fax Number | 7047952301 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 6693 |
|
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 |
|---|---|---|---|
| 799002T | NC | -- |
Post Comment/ Review Below
What is the Dr. Evan G. Long's unique identification number?
The Dr. Evan G. Long has been assigned the NPI (National Provider Identifier) Number 1386659258 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Dr. Evan G. Long located?
The Dr. Evan G. Long is located at 5641 Poplar Tent Rd, Concord, NC 280277533.
What is Dr. Evan G. 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 Dr. Evan G. 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 1386659258 to Dr. Evan G. Long?
The Centers for Medicare & Medicaid Services originally issued the 1386659258 to Dr. Evan G. Long on 2006-07-29.
As of what date was the information regarding Dr. Evan G. Long, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dr. Evan G. Long, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-25.