Long, Richard G
Long, Richard G is an individual health care provider with primary practice located at 46 Office Park Dr , Jacksonville NC 28546-3217. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Long, Richard G can be contacted via phone (910) 353-3535.Contact Information
Primary practice address
46 Office Park Dr
Jacksonville NC 28546-3217
Phone: (910) 353-3535
Fax: (910) 353-9754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6585 | North Carolina |
Profile Details
| NPI number | 1760452551 |
|---|---|
| LBN Legal business name | Long, Richard G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Feb 5th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760452551 | NPPES |
| North Carolina | Other | 9018P | BCBSNC |
| North Carolina | MEDICAID | 899018P | BCBSNC |
| North Carolina | Other | 1749169 | BCBSNC |
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