Individual
DR. CHARLES ANTHONY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 221-0826
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00204758
CO
122300000X
Dentist
Primary
38187
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
00204758
CO
Other
Enumeration date
06/23/2021
Last updated
04/21/2026
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