Evan G Long is a Pediatric Dentistry in Concord, North Carolina. Evan G Long practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Evan G Long is 1992719587. The last update date is 2007-07-08.
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 Evan G Long is 5641 Poplar Tent Rd, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan G Long |
|---|---|
| Address | 5641 Poplar Tent Rd, Concord, North Carolina |
| Phone Number | 7047952300 |
| Fax Number | 7047952301 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1992719587 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
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 |
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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 |
|---|---|---|---|
| 799002-T | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Evan G Long by the Centers for Medicare & Medicaid Services?
The Evan G Long has been issued the NPI (National Provider Identifier) 1992719587. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Evan G Long is located?
The Evan G Long is situated at the following address: 5641 Poplar Tent Rd, Concord, NC, 280277533.
What is Evan G Long's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evan G Long is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992719587 to Evan G Long?
The Centers for Medicare & Medicaid Services originally issued the 1992719587 to Evan G Long on 2006-07-28.
As of what date were the details pertaining to Evan G Long last refreshed?
The information related to the Evan G Long, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY