MEDICARE: DR. DENNIS R LONG DMD

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	4866	KY

General Provider Information

NPI Number	:	1881792877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS R LONG DMD

Provider Business Mailing Address
First Line	:	1100 WASHINGTON STREET
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-1462
Country	:	US
Telephone Number	:	502-633-1915
Fax Number	:	502-633-1098

Provider Business Practice Location Address
First Line	:	1100 WASHINGTON STREET
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-1462
Country	:	US
Telephone Number	:	502-633-1915
Fax Number	:	502-633-1098

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1124137823 — BUECKER & LONG PSC
Practice Location Address:

1100 WASHINGTON STREET
SHELLBYVILLE, KY
40065-1462

Practice Phone: 502-633-1915
Practice Fax: 502-633-1098

1861349144 — BRITTANY CHRISTINE HIGDON
Practice Location Address:

727 HOSPITAL DR
SHELBYVILLE, KY
40065-1660

Practice Phone: 502-647-4170
Practice Fax:

1184579187 — TONYA MORGAN BSN, RN
Practice Location Address:

110 PLANTATION DR
SHELBYVILLE, KY
40065-8310

Practice Phone: 502-553-1676
Practice Fax:

1235860198 — SUZANNE NORTHERN BCBA, LBA
Practice Location Address:

90 HOWARD DR
SHELBYVILLE, KY
40065-8138

Practice Phone: 502-633-1007
Practice Fax:

1558364299 — LAURA P WHITE M.D.
Practice Location Address:

140 STONECREST RD , STE 101
SHELBYVILLE, KY
40065-8142

Practice Phone: 502-633-6411
Practice Fax: 502-633-6657

1922002682 — DR. ASHTON HUDSON MD
Practice Location Address:

727 HOSPITAL DR
SHELBYVILLE, KY
40065-1660

Practice Phone: 502-647-4347
Practice Fax:

Directions to “ DR. DENNIS R LONG DMD” 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.