DR. EVAN G. LONG
NPI 1386659258
Dentist - Pediatric Dentistry in Concord, NC

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

Active since July 29, 2006

5641 POPLAR TENT RD, SUITE 201, CONCORD, NC 28027(704) 795-2300(704) 795-2301 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Evan G. Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVAN G. LONG (NPI 1386659258) is a healthcare organization registered as a pediatric dentistry in Concord, North Carolina and active in the NPI registry since July 2006. The organization lists Evan G. Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1386659258

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameDR. EVAN G. LONG

Location Address5641 POPLAR TENT RD, SUITE 201Concord, NC 28027-7533

Mailing Address5641 Poplar Tent Rd, Suite 201Concord, NC 28027-7533 · (704) 795-2300 · Fax (704) 795-2301

Phone(704) 795-2300

Fax(704) 795-2301

Organization SubpartNo

Authorized OfficialEvan G. LongOwner · (704) 795-2300

Enumeration DateJuly 29, 2006

Last NPPES UpdateSeptember 25, 2007

✔ NPI 1386659258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NC · 6693

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.

5641 POPLAR TENT RD, Concord, NC 28027

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Other Identifiers 1

Medicaid799002TNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP