EDWARD D. LONG III (NPI# 1770606345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770606345 |
| Entity Type | Individual |
| Full Name | EDWARD D. LONG III |
| Credential | D.D.S. |
| Practice Address |
1895 Sheridan Dr Kenmore NY 14223-1201 |
| Practice Telephone | 7168746363 |
| Mailing Telephone | 7168746363 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
032217 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901252 | Edward R Long | Physical Therapist | 1476 Long Grove Dr Ste 1, Mount Pleasant, SC 29464-7571 | 2020-04-24 |
| 1336654326 | Edward Larry Long IIi | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2017-12-12 |
| 1235321555 | Edward Long | Dentist | 2402 E Main St, Suite 8, Merrill, WI 54452-2702 | 2007-08-10 |
| 1144435751 | Edward M. Long | Chiropractor | 2541 Pass Rd, Suite H, Biloxi, MS 39531-2106 | 2007-05-14 |
| 1598797938 | Edward Long Jr. | Internal Medicine | 24068 Professional Park Dr, Lawrenceburg, IN 47025-7600 | 2006-07-07 |
| Street Address |
1895 SHERIDAN DR |
| City | KENMORE |
| State | NY |
| Zip Code | 14223-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013030816 | Michael Neil Cassese | Dentist | 1895 Sheridan Dr, Kenmore, NY 14223-1201 | 2007-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346769858 | Raymond Shu | Physical Therapist | 2075 Sheridan Drive, Kenmore, NY 14223 | 2017-09-15 |
| 1184140808 | Star6 Transportation Inc | Taxi | 1745 Colvin Blvd, Tonawanda, NY 14223 | 2017-08-15 |
| 1558768556 | Marci Gawronski | Developmental Therapist | 174 Athens Blvd., Buffalo, NY 14223 | 2014-11-20 |
| 1699013946 | Medfirst Urgent Care | Emergency Medicine | 1751 Sheridan Dr, Tonawanda, NY 14223 | 2013-01-22 |
| 1528302007 | Carol A Giammara | Occupational Therapy Assistant | 696mooe Ave, Buffalo, NY 14223 | 2012-11-21 |
| 1477839074 | Paula Delvalle | Registered Nurse | 250 Athens Blvd., Buffalo, NY 14223 | 2011-10-26 |
| 1366728255 | Peggy U. Meyer | Registered Nurse | 845 Kenmore Avenue, Buffalo, NY 14223 | 2011-10-24 |
| 1457661100 | Diane A Colburn | Nutritionist | 226 Moore Ave, Buffalo, NY 14223 | 2010-10-15 |
| 1093941643 | Margaret M Shaughnessy | Physical Therapist | 2005 Sheridan Drive, Supplementa Health Care, Buffalo, NY 14223 | 2009-06-09 |
| 1154556207 | Frederick Lacaste Tabliago | Physical Therapist | 259 Grimsby Rd, Tonawanda, NY 14223 | 2009-05-19 |
| Find all providers in zip 14223 | ||||
| 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 |
|---|---|---|---|---|
| 1235793183 | Carol Lin Dds, Pllc | Dentist | 5701 Ne Bothell Way Ste 5, Kenmore, WA 98028-9400 | 2019-04-25 |
| 1013492503 | Melanie Shawn Mcdivitt Hiskey | Dentist | 18031 67th Ave Ne, Kenmore, WA 98028-4839 | 2018-10-01 |
| 1336630615 | Quirt, Mongrain, Gibree, P.C. | Dentist | 5723 Ne Bothell Way Ste A, Kenmore, WA 98028-9404 | 2018-05-23 |
| 1760732580 | Benjamin Dorantes Dds Pllc | Dentist | 5710 Bothell Way Ne, Ste. 5, Kenmore, WA 98028 | 2012-09-19 |
| 1487864484 | Robinson & Conway, P.l.l.c. | Dentist | 5723 Ne Bothell Way Ste B, Kenmore, WA 98028-9404 | 2007-05-22 |
| 1316065733 | Arlette Tucci Kirk | Dentist | 3728 Delaware Ave, Kenmore, NY 14217-1002 | 2007-03-26 |
| 1174665749 | David Michael Minahan | Dentist | 6610 Ne 181st St, Kenmore, WA 98028-4867 | 2007-02-12 |
| 1154481901 | Tammy Thithu Nguyen | Dentist | 8003 Ne 151st Ct, Kenmore, WA 98028-5602 | 2006-12-11 |
| 1295823961 | Karen Marie Bennett | Dentist | 6502 Ne 181st St, Kenmore, WA 98028-4802 | 2006-10-10 |
| 1417061599 | Edward Stephen Dolan | Dentist | 5701 Ne Bothell Way, Suite 5, Kenmore, WA 98028-9400 | 2006-08-18 |
| Find all providers in KENMORE | ||||
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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.