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Dr. W Roger Long
General Practice Dentistry in Fort Pierce, Florida
NPI 1063410462

W Roger Long is a General Practice Dentistry based in Fort Pierce, FL and is specialized in General Practice. W Roger Long practices in Fort Pierce, FL. The NPI Number for W Roger Long is 1063410462 and holds a License No. DN0009663 (Florida).

The current practice location address for W Roger Long is 1511 S 25Th St, Fort Pierce, FL and can be reached out via phone at 772-464-2943 and via fax at 772-464-8801.

Location: 1511 S 25Th St, Fort Pierce, FL, 34947-4779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063410462
Provider Name
W Roger Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
1511 S 25Th St, Fort Pierce, FL, 34947-4779
Phone Number
772-464-2943
Fax Number
772-464-8801
Provider Enumeration Date
07/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1511 S 25Th St
City
Fort Pierce
State
Florida
Zip
34947-4779
Phone Number
772-464-2943
Fax Number
772-464-8801
person
Provider Business Mailing Address Details
Address
1511 S 25Th St
City
Fort Pierce
State
Florida
Zip
34947-4779
Phone Number
772-464-2943
Fax Number
772-464-8801
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN0009663 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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