William G Long DDS,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009950 Issued in GA

Legal business name

WILLIAM G LONG DDS,PC

Practice address

1810 Central Ave
Augusta, GA 30904-5735

Phone

(706) 737-0133

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Gould Long, DDSNPI 1154413094

Title

Owner

Phone

(706) 737-0133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Gould Long, DDS

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1154413094
  NPD (past) Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1194908848",
    "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": "30904",
            "telephone_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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G LONG DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GOULD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-737-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00338269A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvester Wilkins IV
• Britney Wilkinson, CPNP
• Beth Ann Willard, CDA
• Dorian Keane Willhite
• William E Lavigne MD PC
• William M. B. Boyd, DMD, LLC
• Aishia L Williams, LPC
• Alexandra Helene Williams, RD, LDN
• Allen Williams, CO
• Angela Williams

• 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 17, 2007; 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.