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Contact Information

GREGORY W LONG, DMD
207 EMERSON DRIVE
ZELIENOPLE, PA16063
 Phone: 724-452-7887
 Fax: 724-452-6803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GREGORY W LONG · (Male)

NPI # 1013076389
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 12/06/2006
Last updated 11/23/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # DN16563
  • PA License # DS029696L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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