DR. WALTER R. LONG


Address: 10 Farmfield Ave Ste E, Charleston, SC 29407-7756
Phone: 8437660112

DR. WALTER R. LONG (NPI# 1669692349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669692349
Entity Type Individual
Full Name DR. WALTER R. LONG
Credential D.M.D.
Practice Address 10 Farmfield Ave Ste E
Charleston
SC 29407-7756
Practice Telephone 8437660112
Enumeration Date 2007-04-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
3707 SC Dental Providers

Other Providers WALTER LONG

NPI Name Taxonomy Address Enumeration
1801120951 Walter R Long Counselor 2400 W Dunlap Ave Ste 300, Phoenix, AZ 85021-2822 2009-09-22
1497849145 Walter J Long Optometrist 660 S College Ave, Bloomington, IN 47403-2527 2006-10-03

Office Location

Street Address 10 FARMFIELD AVE STE E
City CHARLESTON
State SC
Zip Code 29407-7756

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437763661 Charleston Jaw Surgery Oral & Maxillofacial Surgery 846 St. Andrews Blvd., Charleston, SC 29407 2020-09-04
1780225128 New Endeavors Counseling Social Worker 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 2019-10-07
1770063158 Katelyn Campbell Psychologist 1 Carriage Ln Ste 102, Charleston, SC 29407 2018-08-15
1164929956 Anisha Gulati Md LLC Psychiatry & Neurology 925 Wappoo Rd., Suite F, Charleston, SC 29407 2018-04-09
1316459753 David W Richardson Dentist 765 St. Andrews Blvd., Charleston, SC 29407 2017-10-25
1457874174 Meca Mentality LLC Chiropractor 1106 St Andrews Blvd Suite A, Charleston, SC 29407 2017-07-25
1639609373 Carolina Behavioral Specialists, LLC Behavioral Analyst 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 2017-06-15
1467991901 Bernice Ladson Registered Nurse 75o Magnolia Road, Charleston, SC 29407 2017-02-16
1376991257 Virginia Leigh Thomason Counselor 29 Leinbach Dr, Suite D2, Charleston, SC 29407 2016-06-01
1609221001 Elinor Lee Smith Counselor 571 Savannah Hwy, Charleston, SC 29407 2016-05-04
Find all providers in zip 29407

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164710562 Ernest Stephen Fragale Dentist 405 Capitol St Ste 914, Charleston, WV 25301-1744 2011-07-19
1992018899 Kool Smiles Sc-2, PC Dentist 4400 Dorchester Rd Ste 108, Charleston, SC 29405-6863 2010-07-20
1295975977 Jason H. Cohen, Dmd, LLC Dentist 198 Rutledge Ave Ste 3, Charleston, SC 29403-5834 2009-02-20
1538386313 Marc Levitan Dentist 173 Ashley Ave Rm 440 Bsb, Musc - Endodontics, Charleston, SC 29425-8908 2007-04-20
1548399793 William H. Fournier Jr. Dentist 675 Saint Andrews Blvd, Charleston, SC 29407-7343 2007-03-05
1619049475 Lora Beth Ford Dentist 112 Morris St, Charleston, WV 25301-2911 2006-11-15
1316021736 Donald W Mcvicker Dentist 1064 Gardner Lane, Suite 103, Charleston, SC 29407 2006-10-24
1760406565 John K Kuyk Dentist 405 Capitol St, Suite 914, Charleston, WV 25301-1749 2006-07-26
1437797495 Jeffrey C Kotz Dmd Pa Dentist 742 Saint Andrews Blvd, Charleston, SC 29407-7169 2019-12-20
1518330463 Capitol Endodontics, Pllc Dentist 405 Capitol St, Suite 914, Charleston, WV 25301-1749 2015-11-01
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29407

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Dataset Information

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.

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