William Gregory Long, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

10043 Issued in GA

Practice address

3650 Gurley Dr
Columbus, GA 31904-5623

Phone

(706) 571-0201

Fax

(706) 320-0390

NPI assigned

Mar 14, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Southeastern Dental Center-Columbus LLC

  • Dental Clinic/Center
  • Columbus, GA
  • NPI 1376288308
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598898801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 GURLEY DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045623",
            "telephone_number": "706-571-0201",
            "fax_number": "706-320-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 GURLEY DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045623",
            "telephone_number": "706-571-0201",
            "fax_number": "706-320-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "10043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Michelle Long, NP-C
• Brittney Lashay Long
• Lorri Long, RD, LD
• Richard P Long, MFT
• Tiara Long
• Leslie Dawn Longstreth
• Michael Lopes, RBT
• Daysaundra Renea Lopez, RBT
• Edward Joseph Lopez, D.P.M
• James Irvine Lopez, DDS, MS, MS

• Dentist in Columbus, GA
• Providers in Columbus, GA by specialty
• Dentist in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.