RYAN R LONG (NPI# 1912077546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912077546 |
| Entity Type | Individual |
| Full Name | RYAN R LONG |
| Credential | DDS |
| Practice Address |
13820 Saint Augustine Rd Ste 105 Jacksonville FL 32258-5424 |
| Mailing Address |
926 Great Pond Dr Suite 4000 Altamonte Springs FL 32714-7244 |
| Practice Telephone | 9042607700 |
| Practice Fax Number | 9042607733 |
| Mailing Telephone | 4077725124 |
| Mailing Fax Number | 4077883572 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-04-14 |
| 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 |
DN17052 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 076819700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992081871 | Ryan Porter Long | Pharmacist | 1316 West Hwy 40, Vernal, UT 84078-8811 | 2011-10-24 |
| 1356624837 | Ryan Deloran Long | Pharmacist | 112 Rose Dr, Knoxville, TN 37918-1823 | 2011-09-21 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| 1801417605 | Ryan Andrew Long | Student in an Organized Health Care Education/Training Program | 500 S Preston St, Louisville, KY 40202-1702 | 2020-05-03 |
| 1831552215 | Ryan Joseph Long | Social Worker | 3000 Connecticut Ave Nw, Suite 436, Washington, DC 20008-2509 | 2016-04-01 |
| 1467855478 | Ryan Long | Social Worker | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2014-10-04 |
| 1235487083 | Ryan M Long | Physical Therapist | 320 Broadway Ste 2, Chula Vista, CA 91910-3502 | 2012-08-28 |
| 1407149636 | Ryan Brady Long | Physical Therapist | 1868 W Mockingbird Ln, Dallas, TX 75235-5013 | 2011-05-20 |
| 1023286390 | Ryan Long | Counselor | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2008-02-20 |
| 1619043270 | Ryan Thomas Long | Chiropractor | 136 Kissane Ave Ste C, Brighton, MI 48116-1895 | 2006-11-27 |
| Street Address |
13820 SAINT AUGUSTINE RD STE 105 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| 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 |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1518434398 | Michelle Lien Clinton Munoz | Dentist | 1917 Reveille Cir, Jacksonville, AR 72076-9157 | 2018-10-30 |
| 1225543408 | Fateh Arslan | Dentist | 9745 Touchton Rd Unit 1725, Jacksonville, FL 32246-9200 | 2017-12-09 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1184047888 | Rodeffer, Garner, Minor and Mokris Orthodontics | Dentist | 2363 Dunn Avenue, Jacksonville, FL 32218 | 2014-01-31 |
| 1326322678 | Jossette Vo, D.m.d., P.a. | Dentist | 6339 -1 Argyle Forest Blvd, 1, Jacksonville, FL 32244-6666 | 2011-10-05 |
| 1992017164 | Andrew Edward Clark | Dentist | 1036-42 Dunn Ave, Jacksonville, FL 32218-6359 | 2010-07-05 |
| 1598995227 | Lily Ayn Workman | Dentist | 9727 Touchton Rd, Apt 909, Jacksonville, FL 32246-8229 | 2009-07-15 |
| 1396984878 | Terry Tippin, D.m.d., P.l.c. | Dentist | 2800 University Blvd. North, Jacksonville, FL 32211-3394 | 2009-02-06 |
| 1992966816 | Jason M Rice | Dentist | 620 Commerce Center Dr Unit 155, Jacksonville, FL 32225-8803 | 2008-06-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on RYAN R 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.