DR. GREGORY D LONG II (NPI# 1790310431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790310431 |
| Entity Type | Individual |
| Full Name | DR. GREGORY D LONG II |
| Credential | DMD |
| Practice Address |
7131 N Knoxville Ave Ste B Peoria IL 61614-2088 |
| Practice Telephone | 3096922700 |
| Mailing Telephone | 3096922700 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021.003022 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013076389 | Gregory William Long | Dentist | 207 Emerson Drive, Zelienople, PA 16063 | 2006-12-06 |
| 1790276475 | Gregory Long | Pharmacist | 1010 N Prospect St Ste 56, Bowling Green, OH 43402-1335 | 2018-05-29 |
| 1912322868 | Gregory Long | Counselor | 1400 W Northwest Hwy, 260, Grapevine, TX 76051-8113 | 2014-03-02 |
| 1124376660 | Gregory George Long | Dentist | 209 Birch Street, Westwood, CA 96137 | 2012-08-15 |
| 1548599632 | Gregory Adam Long | Counselor | 14 Fordham Rd, Allston, MA 02134-3006 | 2009-12-18 |
| 1437340783 | Gregory J Long | Orthotist | 23961 Calle De La Magdalena Ste 153, Laguna Hills, CA 92653-3616 | 2007-08-01 |
| 1225106438 | Gregory A Long | Psychologist | 1 Lucinda Ave., Niu Speech-language and Hearing Clinic, Dekalb, IL 60115-2899 | 2006-12-04 |
| 1720008881 | Gregory Long | Family Medicine | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2006-07-20 |
| 1467437731 | Gregory A Long | Social Worker | 604 E 25th St, Cheyenne, WY 82001-3133 | 2005-12-09 |
| 1952303471 | Gregory Scott Long | Internal Medicine | 314 E North Ave, Level One, Pittsburgh, PA 15212-4756 | 2005-08-15 |
| Street Address |
7131 N KNOXVILLE AVE STE B |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| 1780002964 | Elliot Saperstein | Dentist | 8248 W Deer Valley Rd Ste A-110, Peoria, AZ 85382-2198 | 2014-04-03 |
| 1659520617 | Devin L Croft | Dentist | 9772 W Yearling Rd, Ste A1600, Peoria, AZ 85383-1380 | 2008-09-15 |
| 1073733275 | Patrick Micheal Cusack | Dentist | 1324 W. Northmoor Rd., Peoria, IL 61614 | 2007-04-27 |
| 1851510648 | Orthodontic Centers of Az | Dentist | 7545 W Bell Rd, #106, Peoria, AZ 85382-3832 | 2007-04-24 |
| 1306988092 | Midwest Orthodontic Associates | Dentist | 5006 N University St, Peoria, IL 61614-4715 | 2007-02-12 |
| 1801954193 | Herbert Ivan Cueto | Dentist | 8392 W Thunderbird Rd, Peoria, AZ 85381-5635 | 2006-12-05 |
| 1851467393 | Kristen Leigh Benes | Dentist | 15188 N 75th Ave, Suite 280, Peoria, AZ 85381-4723 | 2006-11-27 |
| 1265511703 | Ousama El-hillal | Dentist | 8272 W Lake Pleasant Pkwy, Suite #209, Peoria, AZ 85382-7431 | 2006-11-03 |
| 1669559738 | Dental One, Inc. | Dentist | 8249 W Thunderbird Rd, Suite 110, Peoria, AZ 85381-4601 | 2006-11-01 |
| Find all providers in PEORIA | ||||
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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.