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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