Ryan R Long, DDS - Dentist in Jacksonville, FL

Ryan R Long, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Jacksonville, Florida. Ryan R Long is licensed to practice in Florida (license number DN17052) and his current practice location is 13820 Saint Augustine Rd Ste 105, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 260-7700.

NPI number for Ryan R Long is 1912077546 and his current mailing address is 926 Great Pond Dr, Suite 4000, Altamonte Springs, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912077546.

Contact Information

Ryan R Long, DDS
13820 Saint Augustine Rd Ste 105,
Jacksonville, FL 32258-5424
(904) 260-7700
(904) 260-7733

Map and Direction




Healthcare Provider's Profile

Full NameRyan R Long
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location13820 Saint Augustine Rd Ste 105, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912077546
  • Provider Enumeration Date: 11/09/2006
  • Last Update Date: 04/14/2010

Medical Identifiers

Medical identifiers for Ryan R Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912077546NPI-NPPES
076819700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics DN17052 (Florida)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. Ryan R 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 AddressPractice Location Address
Ryan R Long, DDS
926 Great Pond Dr, Suite 4000,
Altamonte Springs, FL 32714-7244

Ph: (407) 772-5124
Ryan R Long, DDS
13820 Saint Augustine Rd Ste 105,
Jacksonville, FL 32258-5424

Ph: (904) 260-7700

Reviews and Comments


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