Individual provider Active NPI

Alexander Hampton Long, DMD

  • Dentist
  • North Charleston, SC
National Provider Identifier
1194527499
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11455 Issued in SC
Practice address
7481 Northside Dr Ste a
North Charleston, SC 29420-4282
Phone
(843) 863-8634
NPI assigned
Mar 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11455 SC Primary

Addresses

Primary practice location

7481 Northside Dr Ste a
North Charleston, SC 29420-4282

Mailing address

7481 Northside Dr Ste a
North Charleston, SC 29420-4282
Phone (843) 863-8634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250930004298 NC Order and Referring Only - DentistPractitioner - Dentist 3173029014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond S Vicente DMD LLC Dentist Past Accepting new patients
Periodontic Specialists by Solomon Dental LLC PastSince Mar 30, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1194527499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7481 NORTHSIDE DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204282",
            "telephone_number": "843-863-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 NORTHSIDE DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204282",
            "telephone_number": "843-863-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALEXANDER",
        "middle_name": "HAMPTON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "11455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.