National Provider Identifier
Edward D. Long III, D.D.S.
Edward D. Long III, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Kenmore, NY and a listed phone number of (716) 874-6363.
Profile Overview
- NPI
- 1770606345
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- April 09, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1895 Sheridan Dr
- Kenmore, NY 14223-1201
Phone: (716) 874-6363
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1770606345
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Edward
- Middle Name
- D.
- Name Suffix
- III
- Credential
- D.D.S.
- Mailing Street Address
- 1895 Sheridan Dr
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1201
- Mailing Country
- US
- Mailing Phone
- (716) 874-6363
- Practice Street Address
- 1895 Sheridan Dr
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14223-1201
- Practice Country
- US
- Practice Phone
- (716) 874-6363
- Enumeration Date
- April 09, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)