DR. DAVID MICHAEL LONG (NPI# 1225457161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225457161 |
| Entity Type | Individual |
| Full Name | DR. DAVID MICHAEL LONG |
| Credential | DDS, MS |
| Practice Address |
78461 Highway 111 La Quinta CA 92253 |
| Mailing Address |
46261 Golden Rod Ln Palm Desert CA 92260-5585 |
| Practice Telephone | 7608619599 |
| Mailing Telephone | 5042895689 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
102446 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 46261 Golden Rod Ln, Palm Desert, CA 922605585 | 5042895689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528484854 | David James Long | Mechanotherapist | 2732 Capital Cir Ne Ste 3, Tallahassee, FL 32308-4108 | 2014-03-11 |
| 1225258197 | David A Long | Chiropractor | 1607 Middleford Rd, Seaford, DE 19973-3617 | 2007-04-26 |
| 1871603613 | David Allen Long | Internal Medicine | 7035 Central Ave Ste B, St Petersburg, FL 33710-7508 | 2006-08-30 |
| 1255372314 | David Long | Chiropractor | 411 Horsham Rd, Horsham, PA 19044-2025 | 2006-06-09 |
| 1134167315 | David Glenn Long | Dentist | 1697 142nd Ave, Dorr, MI 49323-9426 | 2006-06-02 |
| 1710931571 | David R Long | Physical Therapist | 1672 West College St, Pulaski, TN 38478 | 2006-05-19 |
| 1922065069 | David A Long II | Emergency Medicine | 700 S Telephone Road, Moore, OK 73160 | 2006-05-01 |
| 1538780374 | David Long | Student in an Organized Health Care Education/Training Program | 700 19th St S, Birmingham, AL 35233-1927 | 2020-05-04 |
| 1205398997 | David Long | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0002 | 2019-04-02 |
| 1902223324 | David Long | Internal Medicine | 535 Barnhill Dr, Dept Radiation Oncology, Indianapolis, IN 46202-5116 | 2014-03-24 |
| Street Address |
78461 HIGHWAY 111 |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538234745 | Michael Walter Long | Dentist | 78461 Highway 111, Plaza Dental Group, La Quinta, CA 92253-2076 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| Find all providers in zip 92253 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.