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Dr. Evan G Long, DDS
Pediatric Dentist in Concord, North Carolina
NPI 1992719587

Evan G Long is a Pediatric Dentist based in Concord, NC and is specialized in Pediatric Dentistry. Evan G Long practices in Concord, NC and has the professional credentials of DDS. The NPI Number for Evan G Long is 1992719587 and holds a License No. 6693 (North Carolina).

The current practice location address for 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
person
Provider Profile Details
NPI Number
1992719587
Provider Name
Evan G Long
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5641 Poplar Tent Rd, Concord, NC, 28027-7533
Phone Number
704-795-2300
Fax Number
704-795-2301
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
799002-T 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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