TIMOTHY PARKER LONG II (NPI# 1992111975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992111975 |
| Entity Type | Individual |
| Full Name | TIMOTHY PARKER LONG II |
| Practice Address |
6830 Phelan Blvd Beaumont TX 77706-5970 |
| Mailing Address |
1550 Katy Gap Rd #3402 Katy TX 77494-4353 |
| Practice Telephone | 4098609600 |
| Mailing Telephone | 2817938735 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30056 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558743294 | Timothy J Long | Counselor | 3150 Noble Ct, Boulder, CO 80301-6211 | 2015-06-18 |
| 1457416489 | Timothy Long | Chiropractor | 464 E Guadalupe, La Grange, TX 78945 | 2006-12-27 |
| 1972514826 | Timothy Long | Chiropractor | 2979 N Cannon Blvd, Kannapolis, NC 28083-9125 | 2006-08-10 |
| 1558384214 | Timothy P Long | Family Medicine | 200 N Highway 47, Marthasville, MO 63357 | 2006-07-25 |
| 1114979986 | Timothy Richard Long | Social Worker | 160 Draper Ave, C/o Child Inc., Warwick, RI 02889-5047 | 2006-05-17 |
| 1699743567 | Timothy R. Long | Family Medicine | 1320 Andrea St, Bowling Green, KY 42104-3334 | 2006-03-08 |
| 1003045071 | Timothy R Long | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-07-10 |
| 1578693354 | Timothy John Long | Hospitalist | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2007-03-07 |
| 1528081239 | Timothy J Long | Internal Medicine | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2006-07-25 |
| 1457338477 | Timothy R Long | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-30 |
| Street Address |
6830 PHELAN BLVD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-5970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609808120 | Robert C Matherne Dds Inc | Dentist | 6830 Phelan Blvd, Beaumont, TX 77706 | 2006-07-07 |
| 1538575022 | Robert Charles Matherne | Dentist | 6830 Phelan Blvd, Beaumont, TX 77706-5970 | 2014-07-07 |
| 1801105937 | West End Dental Group, Pllc | Dentist | 6830 Phelan Blvd, Beaumont, TX 77706-5970 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215729 | Joseph Donatelli Morales | Dentist | 1610 E 2nd St, Beaumont, CA 92223-3166 | 2019-06-26 |
| 1154805117 | Andrea Moore Dental Corporation | Dentist | 1620 E 1st St Ste 200, Beaumont, CA 92223-3174 | 2018-09-17 |
| 1073004065 | Emily Anne Hicks | Dentist | 1595 Cornerstone Ct Ste B, Beaumont, TX 77706-4066 | 2018-05-24 |
| 1609302553 | Hassan Asghar | Dentist | 1110 Longfellow Dr # B, Beaumont, TX 77706-4820 | 2017-05-11 |
| 1629445333 | Wael Hamdan | Dentist | 6970 Firethorn, Beaumont, TX 77708 | 2015-08-28 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1750775615 | Jasper Family Dental Pllc | Dentist | 860 S 11th St, Suite 101, Beaumont, TX 77701-3736 | 2015-03-27 |
| 1851785588 | Soumava Sen,dds, P.C. | Dentist | 3565 College St Ste B, Beaumont, TX 77701-4615 | 2015-03-19 |
| 1790194819 | Billy Eston Horton | Dentist | 3695 Fm 3514, Beaumont, TX 77705-7653 | 2014-08-04 |
| Find all providers in BEAUMONT | ||||
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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.