MR. NATHAN LONG D.D.S NPI 1518096361

NPI Information

MR. Nathan Long, D.D.S is a general practice dentist in Chicago, IL. 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. MR. Nathan Long, D.D.S NPI is 1518096361. 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:

8210 S KING DR
CHICAGO, IL
ZIP 60619-904
Phone: (773) 233-1119
Fax: (773) 233-1145

The enumeration date for this NPI number is 3/5/2007 and was last updated on 7/8/2007.

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:

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