Dr. Evan G. Long

LBN: Dr. Evan G. Long
Dr. Evan G. Long is an health care organization with primary practice located at 5641 Poplar Tent Rd Suite 201, Concord NC 28027-7533. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Dr. Evan G. Long can be contacted via phone (704) 795-2300, or through Long, Evan G. via phone (704) 795-2300.

Contact Information

Primary practice address
5641 Poplar Tent Rd Suite 201 Concord NC 28027-7533
Phone: (704) 795-2300
Fax: (704) 795-2301
Website:
Map and Directions
Authorized official contact:
Name: Long, Evan G. Doctor of Dental Surgery (DDS)
Phone: (704) 795-2300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6693 North Carolina

Profile Details

NPI number 1386659258
LBN Legal business name Dr. Evan G. Long
DBA Doing business as
Authorized official Long, Evan G. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Sep 25th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386659258 NPPES
North Carolina MEDICAID 799002T

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