CASEY LONG (NPI# 1386129229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386129229 |
| Entity Type | Individual |
| Full Name | CASEY LONG |
| Practice Address |
1745 City Center Blvd Ste A Elizabeth City NC 27909-8953 |
| Practice Telephone | 2523312304 |
| Practice Fax Number | 8889756590 |
| Mailing Telephone | 2523312304 |
| Mailing Fax Number | 8889756590 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11199 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609284751 | Casey Long | Family Medicine | 432 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2014-07-31 |
| 1174812473 | Casey Jeanne Long | Chiropractor | 601 S 32nd Ave, Wausau, WI 54401-3958 | 2011-04-07 |
| Street Address |
1745 CITY CENTER BLVD STE A |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-8953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194929992 | Jason Andrew Banks | Dentist | 1745 City Center Blvd Ste A, Elizabeth City, NC 27909 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1063530228 | Henry David Cianciulli | Dentist | 527 Commerce Dr, Elizabeth City, NC 27909-8327 | 2007-03-27 |
| 1598810897 | Clifford B Jones IIi | Dentist | 407 S Road St, Elizabeth City, NC 27909-4919 | 2007-01-24 |
| 1265589618 | Clifford Bell Jones Jr. | Dentist | 407 South Road Street, Elizabeth City, NC 27906-1287 | 2007-01-05 |
| 1366506560 | Harold L Turner | Dentist | 215 N Mcmorrine St, Elizabeth City, NC 27909-4409 | 2006-12-21 |
| 1629054226 | Richard L. Delong | Dentist | 1183 Weeksville Rd, Elizabeth City, NC 27909-8437 | 2005-12-16 |
| 1467446252 | Regis Allen Dandar | Dentist | 217 S Poindexter St, Elizabeth City, NC 27909-4834 | 2005-09-07 |
| 1003434044 | Brayden Michael Flake | Dentist | 408 E Colonial Ave, Elizabeth City, NC 27909-4363 | 2020-07-07 |
| 1376105197 | Jennifer Hopfensperger | Dentist | 1161 N Road St, Elizabeth City, NC 27909-3388 | 2019-07-01 |
| 1235641341 | Kaleb C. Thompson, Dmd, Pa | Dentist | 408 E Colonial Ave, Elizabeth City, NC 27909-4363 | 2017-10-30 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on CASEY LONG.
| 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.