William G Long Dds,pc

NPI #1194908848 in Augusta, Georgia

Provider Information

NPI Number: 1194908848
Entity Type: Organization
Organization Name: William G Long Dds,pc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 17, 2007
Last Updated: Dec 17, 2007

Practice Location

Address: 1810 CENTRAL AVE
City: Augusta
State: Georgia
ZIP Code: 30904-5735
Phone: (706) 737-0133

Authorized Official

Name: DR. WILLIAM GOULD LONG, DDS
Title: OWNER
Phone: (706) 737-0133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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