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Contact Information

ADAM R LONG, DMD
65-1230 MAMALAHOA HWY STE E21
WAIMEA, HI96743-8319
 Phone: 808-887-8801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for ADAM R LONG · (Male)

NPI # 1992275861
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 12/04/2018
Last updated 01/04/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # DT-2752
  • HI Other DT-2752 STATE LICENSE
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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