DR. WILLIAM GOULD LONG (NPI# 1154413094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154413094 |
Entity Type | Individual |
Full Name | DR. WILLIAM GOULD LONG |
Credential | DDS |
Practice Address |
1810 Central Ave Augusta GA 30904-5735 |
Practice Telephone | 7067370133 |
Practice Fax Number | 7067370133 |
Mailing Telephone | 7067370133 |
Mailing Fax Number | 7067370133 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-12-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DN009950 | GA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760901565 | William M Long | Physical Therapist | 14000 Nicollet Ave Ste 200, Burnsville, MN 55337-5796 | 2017-09-12 |
1265777221 | William J Long | Pharmacist | 1203 Mechem Dr, Ruidoso, NM 88345-7210 | 2012-12-03 |
1952656316 | William Eugene Long | Radiology | 155 Trezevant View Pl, Memphis, TN 38111-4759 | 2012-07-20 |
1265721922 | William Wesley Long | Registered Nurse | 10 Lewis Ave, Apartment 12 I, Brooklyn, NY 11206-5933 | 2011-04-04 |
1447486980 | William S Long | Podiatrist | 801 Se Main Street, Simpsonville, SC 29681-3226 | 2009-06-10 |
1174622997 | William Frederick Long | Optometrist | 11 Charlestowne Plaza, St Charles, MO 63303 | 2006-09-21 |
1598775868 | William Randall Long | Dentist | 9602 E Washington St, Suite C, Indianapolis, IN 46229-4504 | 2006-08-09 |
1659327344 | William Sherman Long Jr. | Nurse Anesthetist, Certified Registered | 7900 Rhea Medical Center, Rhea County Hwy, Dayton, TN 37321 | 2006-05-25 |
1497708168 | William Trigg Long | Dermatology | 71 Park Avenue, 1a, New York, NY 10016 | 2006-05-17 |
1023067055 | William T Long | Orthopaedic Surgery | 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027-6061 | 2006-05-08 |
Street Address |
1810 CENTRAL AVE |
City | AUGUSTA |
State | GA |
Zip Code | 30904-5735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194908848 | William G Long Dds,pc | Dentist | 1810 Central Ave, Augusta, GA 30904-5735 | 2007-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
Find all providers in zip 30904 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
1730633959 | Carol A. Patel | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2016-08-04 |
1477938629 | Alie Kraft | Dentist | 1430 John Wesley Gilbert Dr Augusta University, Augusta, GA 30912-5660 | 2015-07-29 |
1982013116 | Jeffrey Steed | Dentist | Dental College of Georgia 1430 John Wesley Gilbert Dr, Augusta, GA 30912 | 2014-08-13 |
1619380144 | Nicole Anne Hasenfus | Dentist | 169 Water St, Augusta, ME 04330-4607 | 2014-06-02 |
1275898900 | Dyess Parkway Dental, LLC | Dentist | 4045 Jimmie Dyess Pkwy Ste 103, Augusta, GA 30909-9492 | 2012-07-09 |
1578862777 | Jonathan L Bullard | Dentist | 3702 Washington Rd., Augusta, GA 30907-2848 | 2011-03-28 |
1811205040 | Jason Hamel | Dentist | 94 Western Ave Ste 1, Augusta, ME 04330-7269 | 2010-09-22 |
1659686806 | Alan F Myers | Dentist | 1014 Northwood Rd, Suite A, Augusta, GA 30909-2312 | 2010-08-12 |
Find all providers in AUGUSTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.