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Dr. Evan G. Long
Pediatric Dentist in Concord, North Carolina
NPI 1386659258

Dr. Evan G. Long is a Pediatric Dentist based in Concord, NC and is specialized in Pediatric Dentistry. Dr. Evan G. Long practices in Concord, NC. The NPI Number for Dr. Evan G. Long is 1386659258 and holds a License No. 6693 (North Carolina).

The current practice location address for Dr. Evan G. Long is 5641 Poplar Tent Rd, Concord, NC and can be reached out via phone at 704-795-2300 and via fax at 704-795-2301.

Location: 5641 Poplar Tent Rd, Concord, NC, 28027-7533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386659258
Provider Name
Dr. Evan G. Long
Credential
Provider Entity Type
Organization
Address
5641 Poplar Tent Rd, Concord, NC, 28027-7533
Phone Number
704-795-2300
Fax Number
704-795-2301
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
799002T 05 NC
institution
Provider Business Practice Location Address Details
Address
5641 Poplar Tent Rd
City
Concord
State
North Carolina
Zip
28027-7533
Phone Number
704-795-2300
Fax Number
704-795-2301
person
Provider Business Mailing Address Details
Address
5641 Poplar Tent Rd
City
Concord
State
North Carolina
Zip
28027-7533
Phone Number
704-795-2300
Fax Number
704-795-2301
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
6693 (North Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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