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Dr. William Randall Long, DDS
Pediatric Dentist in Indianapolis, Indiana
NPI 1598775868

William Randall Long is a Pediatric Dentist based in Indianapolis, IN and is specialized in Pediatric Dentistry. William Randall Long practices in Indianapolis, IN and has the professional credentials of DDS. The NPI Number for William Randall Long is 1598775868 and holds a License No. 12006619 (Indiana).

The current practice location address for William Randall Long is 9602 E Washington St, Indianapolis, IN and can be reached out via phone at 317-899-5437 and via fax at 317-897-0771.

Location: 9602 E Washington St, Indianapolis, IN, 46229-4504
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Provider Profile Details
NPI Number
1598775868
Provider Name
William Randall Long
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9602 E Washington St, Indianapolis, IN, 46229-4504
Phone Number
317-899-5437
Fax Number
317-897-0771
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
429256 01 IN UNITED CONCORDIA
145620 01 IN CSHCS
institution
Provider Business Practice Location Address Details
Address
9602 E Washington St
City
State
Zip
46229-4504
Phone Number
317-899-5437
Fax Number
317-897-0771
person
Provider Business Mailing Address Details
Address
9602 E Washington St
City
State
Zip
46229-4504
Phone Number
317-899-5437
Fax Number
317-897-0771
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
12006619 (Indiana)
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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