DR. W LONG

Dentist - General Practice

Active Individual
NPI: 1063410462

Practice Address

1511 S 25TH ST
SUITE A
Fort Pierce, FL 34947

Phone: (772) 464-2943

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes DN0009663 (FL)

Frequently Asked Questions

NPI 1063410462 is the National Provider Identifier for DR. W LONG, a Dentist - General Practice provider located in Fort Pierce, FL. This NPI was enumerated on July 9, 2005.
DR. W LONG practices at 1511 S 25TH ST, SUITE A, Fort Pierce, FL 34947.

Quick Facts

NPI
1063410462
Type
Individual
Enumerated
Jul 9, 2005
Last Updated
Jul 8, 2007

Nearby Providers