William Gould Long, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009950 Issued in GA

Practice address

1810 Central Ave
Augusta, GA 30904-5735

Phone

(706) 737-0133

Fax

(706) 737-0133

NPI assigned

Sep 28, 2006

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 GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William G Long DDS,PC

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1194908848
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1154413094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045735",
            "telephone_number": "706-737-0133",
            "fax_number": "706-737-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045735",
            "telephone_number": "706-737-0133",
            "fax_number": "706-737-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "GOULD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice T Long, MS - COUNSELING
• Kristen Long
• Lauren Long, MA
• Melissa Loren Long, PA-C
• Sallie Martin Long
• Robert Leon Longe, PHARM. D.
• Randall Scott Loo, O.T.R.
• Robert Loomis, MD
• Vanessa Kim Looney, PHARM D
• Rosa Maria Lopez Rincon

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.