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W.ROGER LONG DDS.P.A. NPI 1932602661


NPI Information

NPI: 1932602661
Provider Name: W.ROGER LONG DDS.,P.A.

Doing Business As: SMOOTH SAILING DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1511 S 25TH ST
FORT PIERCE, FL
ZIP 34947
Phone: (772) 464-2943
Get Directions

W.ROGER LONG DDS.,P.A. 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. W.ROGER LONG DDS.,P.A. NPI is 1932602661. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smooth Sailing Dental.

The provider's business location address is:

1511 S 25TH ST
FORT PIERCE, FL
ZIP 34947-779
Phone: (772) 464-2943
Fax: (772) 464-8801

The provider's authorized official is W.roger Long .
The authorized official title is Owner and has the following contact phone number (772) 464-2943.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 3/8/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice9663FLORIDAYes

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

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