Individual
DR. LINWOOD LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., D. ORT
Contact information
Practice address
7820 BALLANTYNE COMMONS PKWY STE 200, CHARLOTTE, NC 28277-2889
(704) 759-0000
(704) 759-9937
Mailing address
7820 BALLANTYNE COMMONS PKWY STE 200, CHARLOTTE, NC 28277-2889
(704) 759-0000
(704) 759-9937
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995372
—
NC
Enumeration date
11/16/2006
Last updated
07/08/2007
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