William B Long, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5449 Issued in NC

Practice address

308 N Taylor St
Goldsboro, NC 27530-4022

Phone

(919) 735-6017

Fax

(919) 735-7366

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265448393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N TAYLOR ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304022",
            "telephone_number": "919-735-6017",
            "fax_number": "919-735-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N TAYLOR ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304022",
            "telephone_number": "919-735-6017",
            "fax_number": "919-735-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995376",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Reynolds Lock, MD
• Penny Lockerman, NP
• Tanya T Loftin, CSFA
• Emily Long, FNP-C
• Ronald Morgan Long, M.D.
• Elizabeth Lopez, LCAS-A
• Lovingcare Group Home
• Bobby Lowery, FNP
• William Lowry Jr.
• Jonathan Leonid Lozevski, M.D.

• General Practice Dentistry in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.