CHARLES R. LONGO


Address: 514 Towne Dr, Fayetteville, NY 13066-1331
Phone: 3156371235

CHARLES R. LONGO (NPI# 1811017890) 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) 1811017890
Entity Type Individual
Full Name CHARLES R. LONGO
Credential DDS
Practice Address 514 Towne Dr
Fayetteville
NY 13066-1331
Practice Telephone 3156371235
Practice Fax Number 3156374833
Mailing Telephone 3156371235
Mailing Fax Number 3156374833
Enumeration Date 2007-03-31
Last Update Date 2014-10-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 036051 NY Dental Providers

Other Providers CHARLES LONGO

NPI Name Taxonomy Address Enumeration
1073738365 Charles Thoms Longo Surgery 4250 H St, Suite 3, Sacramento, CA 95819-3441 2007-04-13
1841266608 Charles A Longo Internal Medicine 1315 S. Cliff Ave, Ste 3000, Sioux Falls, SD 57105-1061 2006-02-23
1700855186 Charles A Longo Internal Medicine 1515 Delhi St, Ste 100, Dubuque, IA 52001-6320 2006-03-16

Office Location

Street Address 514 TOWNE DR
City FAYETTEVILLE
State NY
Zip Code 13066-1331

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1245541432 Rene L Converse Occupational Therapist 7200 E. Genesee Street, Fayetteville, NY 13066 2010-06-23
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962014696 Neko Lynn Webb Dentist 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 2020-08-24
1225529605 Alterman & Dhillon Eastern Nc, Pplc Dentist 4251 Ramsey St Ste 8&9, Fayetteville, NC 28311-2130 2018-05-22
1093217184 Brandon Murray Dentist 2935 Breezewood Ave Ste 200, Fayetteville, NC 28303-5498 2018-03-05
1831641877 Ryan Bradley Dentist 3500 Black Forest Dr Ste 1, Fayetteville, AR 72704-6551 2016-10-25
1750834255 Sharitha Anderson Dentist 117 Pavilion Pkwy Ste 15c, Fayetteville, GA 30214-7732 2016-08-01
1992163901 Dr Don M Chaney Dds Pa Dentist 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 2016-02-04
1972973766 Beautiful Smiles of Fayetteville Dentist 719 Lanier Ave W Ste A1, Fayetteville, GA 30214-7634 2015-10-06
1962870030 Matthew Christian Alvarez Dentist 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 2015-09-08
1053795336 Knowles, Smith & Associates, LLP Dentist 2028 Litho Pl Ste 300, Fayetteville, NC 28304-2538 2015-07-16
1952784159 Christina Walls Dentist 637 E Joyce Blvd, #120, Fayetteville, AR 72703-6189 2015-07-07
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Competitor

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City FAYETTEVILLE
Zip Code 13066

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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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