W Roger Long

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0009663 Issued in FL

Practice address

1511 S 25TH St
Suite a
Fort Pierce, FL 34947-4779

Phone

(772) 464-2943

Fax

(772) 464-8801

NPI assigned

Jul 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063410462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S 25TH ST",
            "address_2": "SUITE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474779",
            "telephone_number": "772-464-2943",
            "fax_number": "772-464-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 S 25TH ST",
            "address_2": "SUITE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474779",
            "telephone_number": "772-464-2943",
            "fax_number": "772-464-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "W",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0009663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Lollar
• Juliette Lomax Homier, MD
• Long Life Aligned Spine Center, PLLC
• Donna Long, M.S., CCC-SLP
• Erin Melissa Long, DC
• Looseleaf Holistic Wellness
• Julia Lopes
• Naomi Lopez
• Toni Marlene Lopez
• Thomas Michael Lopilato II, PHARMD

• General Practice Dentistry in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.