| Dr. Evan G. Long | |
|
5641 Poplar Tent Rd Suite 201 Concord NC 28027-7533 | |
| (704) 795-2300 | |
| (704) 795-2301 |
| Full Name | Dr. Evan G. Long |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5641 Poplar Tent Rd, Concord, North Carolina |
| Authorized Official Name and Position | Evan G. Long (OWNER) |
| Authorized Official Contact | 7047952300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Evan G. Long 5641 Poplar Tent Rd Suite 201 Concord NC 28027-7533 Ph: (704) 795-2300 | Dr. Evan G. Long 5641 Poplar Tent Rd Suite 201 Concord NC 28027-7533 Ph: (704) 795-2300 |
| NPI Number | 1386659258 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386659258 | NPI | - | NPPES |
| 799002T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6693 (North Carolina) | Primary |
Renda L Welch Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 South Union St, Concord, NC 28025 Phone: 704-786-9123 | |
Oasis Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8440 Pit Stop Ct Nw, Suite A&b, Concord, NC 28027 Phone: 704-548-2700 Fax: 704-548-2767 | |
Michael O. Reimels Dds Pa Ii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3099 Rock Hill Church Rd, Concord, NC 28027 Phone: 704-782-2630 | |
Ankit M Amin Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 George W Liles Pkwy Nw Ste 10, Concord, NC 28027 Phone: 704-359-7365 | |
Gregory P Bialek Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Exchange St Nw, Suite 101, Concord, NC 28027 Phone: 704-788-1717 Fax: 704-788-1752 | |
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