Garrett Isaac Long III, DDS
Individual provider Active NPI Dentist · Baker, WV
NPI 1841248945 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1841248945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2832 (WV)
- Practice address
- 17978 Sr 55
Baker, WV 26801 - Phone
- (304) 897-5915
- Fax
- (304) 897-6216
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150707003424 | WV | Order and Referring Only - Oral Surgery |
0749592590 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2832 | WV | Yes |
Addresses
Primary practice location
17978 Sr 55
Baker, WV 26801
Mailing address
RR 1 Box 92A11
Augusta, WV 26704-9728
Phone (304) 496-7750
Other providers in Baker, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.