| William G Long Dds,pc | |
|
1810 Central Ave Augusta GA 30904-5735 | |
| (706) 737-0133 | |
| Not Available |
| Full Name | William G Long Dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1810 Central Ave, Augusta, Georgia |
| Authorized Official Name and Position | William Gould Long (OWNER) |
| Authorized Official Contact | 7067370133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William G Long Dds,pc 1810 Central Ave Augusta GA 30904 Ph: (706) 737-0133 | William G Long Dds,pc 1810 Central Ave Augusta GA 30904-5735 Ph: (706) 737-0133 |
| NPI Number | 1194908848 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194908848 | NPI | - | NPPES |
| 00338269A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN009950 (Georgia) | Primary |
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