Patrick W Long, DDS is a
Dentist based in Shadyside, Ohio. Patrick W Long is licensed to practice in Ohio (license number 17545) and his current practice location is
3775 Central Ave, Shadyside, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 676-2604.
NPI number for Patrick W Long is 1932295797 and his current mailing address is Po Box 147, Shadyside, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932295797.
Healthcare Provider's Profile
| Full Name | Patrick W Long |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 3775 Central Ave, Shadyside, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932295797
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 08/08/2012
Medical Identifiers
Medical identifiers for Patrick W Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932295797 | NPI | - | NPPES |
| 0579066 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 17545 (Ohio) | 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. Patrick W 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 |
|---|
Patrick W Long, DDS
Po Box 147,
Shadyside, OH 43947-0147
Ph: (740) 676-2604 | Patrick W Long, DDS
3775 Central Ave,
Shadyside, OH 43947
Ph: (740) 676-2604 |
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