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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12006619 | IN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | CSHCS | 145620 | 01 |
IN | UNITED CONCORDIA | 429256 | 01 |
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 |
Street Address |
9602 E WASHINGTON ST SUITE C |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46229-4504 |
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 |
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 Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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 |
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 |
City | INDIANAPOLIS |
Zip Code | 46229 |
Please comment or provide details below to improve the information on DR. WILLIAM RANDALL 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.