LONG LAXER & SAVAGE DDS PLLC NPI 1558360974

NPI Information

NPI: 1558360974
Provider Name: LONG ,LAXER & SAVAGE DDS, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
7820 BALLANTYNE COMMONS PKWY
SUITE 200
CHARLOTTE, NC
ZIP 28277
Phone: (704) 759-0000
Get Directions

LONG ,LAXER & SAVAGE DDS, PLLC is a pediatric dentistry dentist in Charlotte, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. LONG ,LAXER & SAVAGE DDS, PLLC NPI is 1558360974. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7820 BALLANTYNE COMMONS PKWY
SUITE 200
CHARLOTTE, NC
ZIP 28277-841
Phone: (704) 759-0000
Fax: (704) 759-9937

The provider's authorized official is Linwood Marvin Long .
The authorized official title is Dentist / Orthodontist and has the following contact phone number (704) 759-0000.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 6/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	0138	NORTH CAROLINA	No
2	1223P0221X	Dentist	Pediatric Dentistry	0138	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9016K	OTHER	NORTH CAROLINA	DR. LAXER'S BCBS#
2	30130A	MEDICARE UPIN	NORTH CAROLINA
3	899016K	MEDICAID	NORTH CAROLINA
4	8995372	MEDICAID	NORTH CAROLINA
5	BS8607799	OTHER	NORTH CAROLINA	DR. SAVAGE'S DEA#
6	143881557	OTHER		DR. LAXER'S ADA#
7	89902XA	MEDICAID	NORTH CAROLINA
8	902XA	OTHER	NORTH CAROLINA	DR. SAVAGE'S BCBS#
9	BL6914356	OTHER	NORTH CAROLINA	DR. LONG'S DEA#
10	BL5163477	OTHER	NORTH CAROLINA	DR. LAXER'S DEA#
11	95372	OTHER	NORTH CAROLINA	DR. LONG'S BCBS#
12	148760706	OTHER		DR. LONG'S ADA#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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