Gregory George Long, DDS is a
Dentist based in Westwood, California. Gregory George Long is licensed to practice in California (license number 21475) and his current practice location is
209 Birch Street, Westwood, California. He can be reached at his office (for appointments etc.) via phone at
(530) 256-3152.
NPI number for Gregory George Long is 1124376660 and his current mailing address is 916 Clifford Drive, Lake Almanor, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124376660.
Healthcare Provider's Profile
| Full Name | Gregory George Long |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 209 Birch Street, Westwood, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124376660
- Provider Enumeration Date: 08/15/2012
- Last Update Date: 09/07/2016
Medical Identifiers
Medical identifiers for Gregory George Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124376660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 21475 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory George Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gregory George Long, DDS
916 Clifford Drive,
Lake Almanor, CA 96137
Ph: (530) 259-4536 | Gregory George Long, DDS
209 Birch Street,
Westwood, CA 96137
Ph: (530) 256-3152 |
Reviews and Comments