JACOB LONG D.D.S.
NPI 1407201809
Dentist - General Practice in Wilmington, NC

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since May 04, 2016

1611 GREENFIELD ST, WILMINGTON, NC 28401(910) 342-9210 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacob Long D.d.s. NPPES

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

JACOB LONG D.D.S. (NPI 1407201809) is an individual general practice provider in Wilmington, North Carolina, licensed in North Carolina (10411) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1407201809

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACOB LONGCredential: D.D.S.

Location Address1611 GREENFIELD STWilmington, NC 28401-6455

Mailing Address1611 Greenfield StWilmington, NC 28401-6455 · (910) 342-9210

Phone(910) 342-9210

Sole ProprietorNo

Enumeration DateMay 4, 2016

Last NPPES UpdateJuly 13, 2016

✔ NPI 1407201809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 10411

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1611 GREENFIELD ST, Wilmington, NC 28401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›