Steven W. Long DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19015884 Issued in IL

Legal business name

STEVEN W. LONG DDS PC

Practice address

40W177 Campton Crossings Dr
St Charles, IL 60175-6582

Phone

(630) 443-5000

Fax

(630) 443-8625

NPI assigned

Sep 21, 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

Dr. Steven Wade Long, D.D.S.

Title

President/Owner

Phone

(630) 443-5000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ameenuddin Syed Ahmed

  • Dentist
  • Bloomingdale, IL
  • NPI 1689304602
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992804611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W177 CAMPTON CROSSINGS DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756582",
            "telephone_number": "630-443-5000",
            "fax_number": "630-443-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W177 CAMPTON CROSSINGS DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756582",
            "telephone_number": "630-443-5000",
            "fax_number": "630-443-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W. LONG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-443-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19015884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Steinbraker
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• Jennie Stellato, MOTR/L
• Stephen Holtsford Enterprises, LLC.
• Steven J Baginski DDS & Assoc., LTD
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• Karla Stipati, DPM
• Strategic Therapeutics and Pilates, L.L.C.
• Stephanie Strieker, LSW

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• General Practice Dentistry in Illinois

• 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.