DR. WILLIAM RANDALL LONG


Address: 9602 E Washington St, Suite C, Indianapolis, IN 46229-4504
Phone: 3178995437

DR. WILLIAM RANDALL LONG (NPI# 1598775868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598775868
Entity Type Individual
Full Name DR. WILLIAM RANDALL LONG
Credential D.D.S.
Practice Address 9602 E Washington St
Suite C
Indianapolis
IN 46229-4504
Practice Telephone 3178995437
Practice Fax Number 3178970771
Mailing Telephone 3178995437
Mailing Fax Number 3178970771
Enumeration Date 2006-08-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
12006619 IN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN CSHCS 145620 01
IN UNITED CONCORDIA 429256 01

Other Providers WILLIAM LONG

NPI Name Taxonomy Address Enumeration
1760901565 William M Long Physical Therapist 14000 Nicollet Ave Ste 200, Burnsville, MN 55337-5796 2017-09-12
1265777221 William J Long Pharmacist 1203 Mechem Dr, Ruidoso, NM 88345-7210 2012-12-03
1952656316 William Eugene Long Radiology 155 Trezevant View Pl, Memphis, TN 38111-4759 2012-07-20
1265721922 William Wesley Long Registered Nurse 10 Lewis Ave, Apartment 12 I, Brooklyn, NY 11206-5933 2011-04-04
1447486980 William S Long Podiatrist 801 Se Main Street, Simpsonville, SC 29681-3226 2009-06-10
1154413094 William Gould Long Dentist 1810 Central Ave, Augusta, GA 30904-5735 2006-09-28
1174622997 William Frederick Long Optometrist 11 Charlestowne Plaza, St Charles, MO 63303 2006-09-21
1659327344 William Sherman Long Jr. Nurse Anesthetist, Certified Registered 7900 Rhea Medical Center, Rhea County Hwy, Dayton, TN 37321 2006-05-25
1497708168 William Trigg Long Dermatology 71 Park Avenue, 1a, New York, NY 10016 2006-05-17
1023067055 William T Long Orthopaedic Surgery 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027-6061 2006-05-08

Office Location

Street Address 9602 E WASHINGTON ST
SUITE C
City INDIANAPOLIS
State IN
Zip Code 46229-4504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134386386 Jay E. Cowan, D.d.s. Professional Services Corporation Dentist 9602 E Washington St, Indianapolis, IN 46229-4504 2008-05-16
1174737332 Craig Scott Thomson Dentist 9602 E Washington St, Suite D, Indianapolis, IN 46229-4504 2007-05-09
1750506879 John C. Pritchett Dentist 9602 E Washington St, Indianapolis, IN 46229-4504 2007-04-16
1699808899 Ammar C. Louly Dentist 9602 E Washington St, # A, Indianapolis, IN 46229-4504 2007-03-14
1558499608 Jaime Lyn Steele Dentist 9602 E Washington St, Suite C, Indianapolis, IN 46229-4504 2007-03-01
1194818039 Jay E. Cowan Dentist 9602 E Washington St, Indianapolis, IN 46229-4504 2006-10-02
1811004013 Gregory Alan Werner Dentist 9602 E Washington St, Indianapolis, IN 46229 2006-08-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487150124 Patrice R. Mosley Registered Nurse 9385 E Washington St, Indianapolis, IN 46229 2018-04-02
1013424621 Latasha Fisher Registered Nurse 9822 Fulbrook Dr, Indianapolis, IN 46229 2018-01-04
1417324856 Ourhealth Physicians Group, LLC Clinic/Center 9934 E Washington Street, Indianapolis, IN 46229 2015-09-01
1134479470 Loving Hands Senior Care and Relocation In Home Supportive Care 9702 E Washington Ste 400 Pmd 185, Indianapolis, IN 46229 2012-09-13
1902155815 Planned Parenthood of Indiana Eastside Clinic/Center 9385 E. Washington St., Indianapolis, IN 46229 2012-09-06
1407092497 Amy Katherine Graham Chiropractor 11020 E 10th St Ste B, Indianapolis, IN 46229 2008-12-23
1043408610 National Vision, Inc. Eyewear Supplier (Equipment, not the service) 9630 Washington Street, Indianapolis, IN 46229 2007-10-09
1487867024 Holli A H Bowser Dietitian, Registered 9660 E Washington St, Indianapolis, IN 46229 2007-05-08
1336361708 Dental Professionals of Indiana, P.C. Dentist 986 North Mitthoeffer, Indianapolis, IN 46229 2007-05-03
1386865558 Gary Lee Bacon Dentist 316 Washington Pointe Drive, Indianapolis, IN 46229 2007-05-02
Find all providers in zip 46229

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194245225 Sara Gholam Dentist 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 2017-06-20
1629443544 Allison C Scully Dentist 1121 W Michigan Street Ds307b, Indianapolis, IN 46202-5186 2015-12-03
1346535010 Scott D. Papineau Dentist 7725 S Emerson Ave, Indianapolis, IN 46237-8654 2011-06-10
1376837070 Steele Pediatric Dentistry LLC Dentist 4509 Northeastern Ave, Indianapolis, IN 46239-1660 2011-05-31
1124151592 Judith Renee Chin Dentist 1121 W Michigan St # Ds220, Indiana University School of Dentistry, Indianapolis, IN 46202-5211 2007-03-14
1437280526 David Scott Morgan Dentist 8802 N Meridian St, Suite 101, Indianapolis, IN 46260-5318 2007-03-08
1700949724 Sandersweddellpediatric Dentalspecialist Dentist 860 East 86th Street, Suite1, Indianapolis, IN 46240-6859 2006-12-19
1952477846 Annette Tepner Farthing Dentist 7725 S Emerson Avenue, Indianapolis, IN 46237-8654 2006-11-24
1881769602 James A. Weddell Dds,msd,pc Dentist 3737 North Meridian, Suite 100, Indianapolis, IN 46208-4357 2006-11-21
1811062664 Kelli R Lucia Dentist 3737 North Meridian Street, Suite 100, Indianapolis, IN 46208-4357 2006-11-21
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46229

Improve Information

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Dataset Information

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.

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