| Edward D Long Iii Dds Pc | |
|
1895 Sheridan Drive Kenmore NY 14223-1201 | |
| (716) 874-6363 | |
| (716) 874-6700 |
| Full Name | Edward D Long Iii Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1895 Sheridan Drive, Kenmore, New York |
| Authorized Official Name and Position | Edward D Long (PRESIDENT) |
| Authorized Official Contact | 7168746363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward D Long Iii Dds Pc 1895 Sheridan Drive Kenmore NY 14223-1201 Ph: (716) 874-6363 | Edward D Long Iii Dds Pc 1895 Sheridan Drive Kenmore NY 14223-1201 Ph: (716) 874-6363 |
| NPI Number | 1679678668 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679678668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 032217 (New York) | Primary |
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