Dr. Craig a. Long, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013125 Issued in MO

Legal business name

DR. CRAIG A. LONG, D.D.S.

Practice address

106 S Main St
Vandalia, MO 63382-1806

Phone

(573) 594-6166

Fax

(573) 594-2472

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig A Long, D.D.S.NPI 1982789699

Title

Owner

Phone

(573) 594-6166

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Alan Long, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1982789699
  NPD (past) Authorized official
• Cedric Papa, D.D.S.

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1407110992
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215984026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821806",
            "telephone_number": "573-594-6166",
            "fax_number": "573-594-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821806",
            "telephone_number": "573-594-6166",
            "fax_number": "573-594-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CRAIG A. LONG, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-594-6166",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Chiropractic Center LLC
• Michael Robert Cole, CHIROPRACTOR
• Countryside Manor
• Countryside Manor LLC
• Christina Dixon, AGNP-C
• Nicole Gibson
• Crisanto Gualberto, M.D.
• Healer S Touch Rehabilitation Services, LLC (Vandalia Physical Therapy)
• Jody L. Horner
• Nicole Marie James, LCSW

• General Practice Dentistry in Vandalia, MO
• Providers in Vandalia, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.