William Randall Long D.D.S.

NPI 1598775868 - Dentist - 1223P0221X

NPI Details
NPI 1598775868
Gender Male
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9602 E WASHINGTON ST
SUITE C
INDIANAPOLIS IN, 46229-4504, US
Phone (317) 899-5437
Fax (317) 897-0771
Business Location
9602 E WASHINGTON ST
SUITE C
INDIANAPOLIS IN, 46229-4504, US
Phone (317) 899-5437
Fax (317) 897-0771
Toxanomy
Taxonomy Code 1223P0221X
License State Indiana
License Number 12006619
Remove 1598775868 NPI Number
 

According to our database, Dr. William Randall Long D.D.S. NPI is 1598775868, taxonomy code is 1223P0221X and license number is 12006619, license state is located at Indiana. William Randall Long D.D.S. physically located at 9602 E Washington St, Indianapolis IN, 46229-4504. NPI Number William Randall Long D.D.S. has the Individual type.

Sponsored links

1598775868 NPI number is provided on an as is basis without warranty of any kind. 1598775868 is maintained by the National Plan & Provider Enumeration System. The contents of William Randall Long D.D.S. are for informational purposes only.