MEDICARE: DR. RICHARD G LONG D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	6585	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9018P	OTHER	NC	BCBSNC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1749169	OTHER		UNITED CONCORDIA

General Provider Information

NPI Number	:	1760452551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD G LONG D.D.S.

Provider Business Mailing Address
First Line	:	46 OFFICE PARK DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-3217
Country	:	US
Telephone Number	:	910-353-3535
Fax Number	:	910-353-9754

Provider Business Practice Location Address
First Line	:	46 OFFICE PARK DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-3217
Country	:	US
Telephone Number	:	910-353-3535
Fax Number	:	910-353-9754

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	02/05/2013

Similar Medicare Providers

1366412512 — DR. JOSEPH ISRAEL GLIKSMAN D.D.S.
Practice Location Address:

50 OFFICE PARK DR
JACKSONVILLE, NC
28546-3217

Practice Phone: 910-347-5151
Practice Fax:

1992778369 — DR. JOSEPH EDWARD ANDREWS
Practice Location Address:

46 OFFICE PARK DR
JACKSONVILLE, NC
28546-3217

Practice Phone: 910-353-3535
Practice Fax: 910-353-9754

1396797627 — DR. JOHN THOMAS MEADOWS D.D.S.
Practice Location Address:

46 OFFICE PARK DR
JACKSONVILLE, NC
28546-3217

Practice Phone: 910-353-3535
Practice Fax:

1326105933 — MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA
Practice Location Address:

46 OFFICE PARK DR
JACKSONVILLE, NC
28546-3217

Practice Phone: 910-353-3535
Practice Fax: 910-353-3535

1467503714 — DR. FRANCIS J MILEWSKI M.D.
Practice Location Address:

42 OFFICE PARK DR
JACKSONVILLE, NC
28546-3217

Practice Phone: 910-353-9146
Practice Fax: 910-353-9130

1780893974 — CRYSTAL COAST EAR, NOSE & THROAT
Practice Location Address:

42 OFFICE PARK DR
JACKSONVILLE, NC
28546-3217

Practice Phone: 910-545-4159
Practice Fax:

Directions to “ DR. RICHARD G LONG D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.