Organization Active NPI

William B Long DDS PA

  • Dentist
  • Goldsboro, NC
National Provider Identifier
1962425181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5449 Issued in NC
Legal business name
WILLIAM B LONG DDS PA
Practice address
308 N Taylor St
Goldsboro, NC 27530-4022
Phone
(919) 735-6017
Fax
(919) 735-7366
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William B Long, DDS
Title
President
Phone
(919) 735-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5449 NC Primary

Addresses

Primary practice location

308 N Taylor St
Goldsboro, NC 27530-4022

Mailing address

308 N Taylor St
Goldsboro, NC 27530-4022
Phone (919) 735-6017

Other identifiers 1

IdentifierTypeStateIssuer
8995376MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962425181",
    "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": {
        "organization_name": "WILLIAM B LONG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-735-6017",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995376",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • 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.