DR. W Roger Long is a general practice dentist in Fort Pierce, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. W Roger Long NPI is 1063410462. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1511 S 25TH ST
SUITE A
FORT PIERCE, FL
ZIP 34947-779
Phone: (772) 464-2943
Fax: (772) 464-8801
The NPI 1063410462 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/9/2005 and was last updated on 7/8/2007.