DR. SUSAN LONG (NPI# 1831268689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831268689 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LONG |
| Credential | DDS |
| Practice Address |
24331 Ford Rd Dearborn MI 48128-1129 |
| Mailing Address |
23746 Cherry Hill St Dearborn MI 48124-1418 |
| Practice Telephone | 3132788080 |
| Practice Fax Number | 3132788087 |
| Mailing Telephone | 3132788080 |
| Mailing Fax Number | 3132788087 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901019134 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE NUMBER | 2901019134 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780962084 | Susan C Long | Nurse Practitioner | 820 Harrison Avenue, Dowling North, 5108, Boston, MA 02118-0000 | 2011-08-03 |
| 1356582639 | Susan Katharine Long | Social Worker | 3150 Cardinal Dr Ste 200, Vero Beach, FL 32963-1931 | 2009-03-16 |
| 1275704868 | Susan Michele Long | Speech-Language Pathologist | 3231 N Ellis St, Chandler, AZ 85224-1068 | 2008-03-21 |
| 1316143522 | Susan Louise Long | Home Health Aide | 275 Horton Sisters Rd, Oak Hill, OH 45656-9760 | 2007-06-25 |
| 1679777387 | Susan P Long | Speech-Language Pathologist | 22633 Imperial Rd, Maryville, MO 64468-7385 | 2007-06-14 |
| 1861608333 | Susan Joy Long | Marriage & Family Therapist | 309 Elm Ave, Tillamook, OR 97141-3437 | 2007-05-14 |
| 1326104787 | Susan Long | Technician/Technologist | 1300 W I-40 Frontage Rd Ste 322, Gallup, NM 87301-3323 | 2006-12-29 |
| 1831112887 | Susan E Long | Family Medicine | 212 Girard Ave, Glenside, PA 19038-1010 | 2006-07-25 |
| 1699260059 | Susan Long | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301 | 2018-06-28 |
| 1669989331 | Susan Maylea Long | Counselor | 5600 Monroe St, Sylvania, OH 43560-2731 | 2018-01-04 |
| Street Address |
24331 FORD RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48128-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417478017 | Alenzi Md PC | Family Medicine | 24331 Ford Rd, Dearborn, MI 48128-1129 | 2017-07-05 |
| 1518179944 | George S Waszczuk | Dentist | 24331 Ford Rd, Dearborn, MI 48128-1129 | 2007-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942219 | Mahmoud Farhat | Dentist | 18590 Outer Dr, Dearborn, MI 48128 | 2018-05-17 |
| 1730607474 | Gentle Hands Direct Care Services, Inc. | Chore Provider | 6659 Schaefer Hwy, Ste. 103, Dearborn, MI 48128 | 2017-09-01 |
| 1396095824 | Corey S. Farber, Pllc | Dentist | 23919 Ford Road, Dearborn, MI 48128 | 2012-09-12 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1841573425 | Apple Transportation LLC | Non-emergency Medical Transport (VAN) | 2000 Lafayette, Dearborn, MI 48128 | 2011-09-21 |
| 1407150295 | Dustin Marsh | Psychologist | 19044 Outer Dr, Dearborn, MI 48128 | 2011-01-07 |
| 1619205028 | Michigan-greenfield Urgent Care Pllc | Clinic/Center | 24355 Ford Rd, Dearborn, MI 48128 | 2009-11-23 |
| 1295905065 | Julius Frank Chikos | Dentist | 21775 Wildwood Street, Dearborn, MI 48128 | 2008-03-07 |
| 1003974155 | Walter Knysz Jr. | Dentist | 23401 Ford Road, Dearborn, MI 48128 | 2006-12-04 |
| 1902983703 | Fadi Ahmad Sobh | Pharmacist | 1745 N Silvery Ln, Dearborn, MI 48128 | 2006-11-01 |
| Find all providers in zip 48128 | ||||
| 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 |
|---|---|---|---|---|
| 1962059782 | Care Dental Family Pllc | Dentist | 5237 Oakman Blvd Ste A, Dearborn, MI 48126-4045 | 2019-08-26 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1467942219 | Mahmoud Farhat | Dentist | 18590 Outer Dr, Dearborn, MI 48128 | 2018-05-17 |
| 1720587876 | Smile Dental Care Pllc | Dentist | 9550 Dix Ste D, Dearborn, MI 48120-1529 | 2018-02-05 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| 1790228799 | Nidal Hammoud Dds. Pllc | Dentist | 6150 Greenfield Rd Ste 100, Dearborn, MI 48126-6003 | 2016-11-22 |
| 1568875854 | Dina Elhout | Dentist | 430 N Telegraph Rd, Dearborn, MI 48128-1619 | 2014-06-04 |
| 1790084549 | Brite Smile Dentistry PC | Dentist | 10645 W Warren Ave Ste 100, Dearborn, MI 48126-8009 | 2011-03-18 |
| 1770890287 | Dolly Jean Gharib | Dentist | 117 Lake Village Blvd, Apt. 303, Dearborn, MI 48120-1653 | 2010-09-03 |
| 1295905065 | Julius Frank Chikos | Dentist | 21775 Wildwood Street, Dearborn, MI 48128 | 2008-03-07 |
| Find all providers in DEARBORN | ||||
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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.