Richard J Long, DMD is a
Dentist based in Fort Edward, New York. Richard J Long is licensed to practice in New York (license number 044602) and his current practice location is
339 Broadway, Fort Edward, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 747-3300.
NPI number for Richard J Long is 1760633796 and his current mailing address is Po Box 287, 339 Broadway, Fort Edward, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760633796.
Healthcare Provider's Profile
Full Name | Richard J Long |
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Gender | Male |
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Speciality | Dentist |
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Location | 339 Broadway, Fort Edward, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760633796
- Provider Enumeration Date: 10/08/2008
- Last Update Date: 10/08/2008
Medical Identifiers
Medical identifiers for Richard J Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760633796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 044602 (New York) | 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. Richard J 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 |
Richard J Long, DMD Po Box 287, 339 Broadway, Fort Edward, NY 12828-1233 Ph: (518) 747-3300 | Richard J Long, DMD 339 Broadway, Fort Edward, NY 12828-1233 Ph: (518) 747-3300 |
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