CRAIG C. LONGENECKER DDS PA (NPI# 1821475633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821475633 |
| Entity Type | Organization |
| Organization Name | CRAIG C. LONGENECKER DDS PA |
| Practice Address |
16928 York Rd Monkton MD 21111-1042 |
| Practice Telephone | 4103570099 |
| Mailing Telephone | 4103570099 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | DR. CRAIG CHARLES LONGENECKER (OWNER) |
| Authorized Official Telephone | 4439047836 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DENTAL LICENSEE | 11730 | 01 |
| MD | PERSONAL NPI NUMBER | 1932381977 | 01 |
| Street Address |
16928 YORK RD |
| City | MONKTON |
| State | MD |
| Zip Code | 21111-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932381977 | Craig Longenecker | Dentist | 16928 York Rd, Monkton, MD 21111-1042 | 2007-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255489456 | Carol Elizabeth Watkins | Psychiatry & Neurology | 16829 York Rd, Monkton, MD 21111-1020 | 2007-01-06 |
| 1750395984 | Kathleen M. Tully | Family Medicine | 16918 York Rd, Suite 100, Monkton, MD 21111-1022 | 2006-07-27 |
| 1194869412 | Sparrow Neuropsychology, P.a. | Clinical Neuropsychologist | 16918 York Rd, Suite 201, Monkton, MD 21111-1022 | 2007-02-19 |
| 1528252632 | Michael A Sless, O.d. P.a. | Optometrist | 16940 York Rd Ste 200, Monkton, MD 21111-1038 | 2007-08-31 |
| 1659584621 | Robert L. Gattuso, M.d., P.a. | Family Medicine | 16950 York Rd, Monkton, MD 21111-1040 | 2007-05-07 |
| 1801839709 | Michael A Sless | Optometrist | 16940 York Rd, Suite 200, Monkton, MD 21111-1095 | 2006-06-14 |
| 1679637979 | Robert Leroy Gattuso | Family Medicine | 16940 York Rd, Suite 204b, Monkton, MD 21111-1095 | 2006-12-20 |
| 1457631491 | Jennifer Lane Swanson | Doula | 17205 Wesley Chapel Rd, Monkton, MD 21111-1205 | 2011-08-23 |
| 1528343142 | Page Mcdonald Crosby | Occupational Therapist | 1628 Corbett Rd, Monkton, MD 21111-1516 | 2011-10-14 |
| 1477580728 | Lisa Salladin Childs | Social Worker | 16260 Falls Rd, Monkton, MD 21111-1621 | 2006-06-26 |
| Find all providers in zip 21111 | ||||
| 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 |
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| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1992302731 | Brandy L Carullo | Dentist | 8503 Greenbelt Rd Ste T4, Greenbelt, MD 20770-2303 | 2020-10-05 |
| 1871109850 | James Bantz Wooddell Jr. | Dentist | 600 Ridgely Ave Ste 225, Annapolis, MD 21401-1089 | 2020-09-16 |
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1457965238 | Shalom Dental | Dentist | 5801 Allentown Rd Ste 307, Camp Springs, MD 20746-4582 | 2020-08-31 |
| 1598377921 | John Francis Battinelli | Dentist | 325 Gambrills Rd Ste C, Gambrills, MD 21054-1102 | 2020-08-18 |
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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.