Individual
DR. RICHARD G LONG
Active
Individual
DR. RICHARD G LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1749169
UNITED CONCORDIA
—
05
—
899018P
—
NC
01
—
9018P
BCBSNC
NC
Enumeration date
01/24/2006
Last updated
02/05/2013
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