Whalio Doctors

NPI 1013050459

Gerald Dennis Long, DDS

Practitioner General Practice Dentistry Cheyenne, WY

Practice location

Address
3116 Acacia Drive, Cheyenne, WY 82001-5804
Phone
(307) 634-3488

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 611 (WY)

Registry record

NPI
1013050459
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.