MEDICARE: LONGHUI GAO DDS

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	1223G0001X	General Practice Dentistry	18999	MD

General Provider Information

NPI Number	:	1104751726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LONGHUI GAO DDS

Provider Business Mailing Address
First Line	:	7525 GREENWAY CENTER DR STE 102
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3525
Country	:	US
Telephone Number	:	301-778-2806
Fax Number	:

Provider Business Practice Location Address
First Line	:	7525 GREENWAY CENTER DR STE 102
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3525
Country	:	US
Telephone Number	:	301-778-2806
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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