Gregory William Long, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS029696L Issued in PA

Practice address

207 Emerson Drive
Zelienople, PA 16063

Phone

(724) 452-7887

Fax

(724) 452-6803

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1013076389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WEST SOLOMON CT",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "16063",
            "telephone_number": "724-453-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 EMERSON DRIVE",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "16063",
            "telephone_number": "724-452-7887",
            "fax_number": "724-452-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029696L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kiley E Librich, LSW
• Matthew Brenton Long, OTR/L
• Tiara Nicole Lucas
• Katelin Lutz
• Tabitha Lyda, M.ED.
• Lynn Carrick Counseling, LLC

• Dentist in Zelienople, PA
• Providers in Zelienople, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.