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KIMBERLY NICOLE LONG DENTAL HYGIENIST
NPI 1649055104
Dental Hygienist in Atlanta, GA

Active since August 31, 2023
2578 GRESHAM RD SE, ATLANTA, GA 30316(404) 688-1350 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Nicole Long Dental Hygienist NPPES

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

KIMBERLY NICOLE LONG DENTAL HYGIENIST (NPI 1649055104) is an individual dental hygienist in Atlanta, Georgia, licensed in Georgia (DH011822) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1649055104
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameKIMBERLY NICOLE LONGCredential: DENTAL HYGIENIST
Location Address2578 GRESHAM RD SEAtlanta, GA 30316-4138
Mailing Address829 White St SwAtlanta, GA 30310-2721 · (626) 243-3484
Phone(404) 688-1350
Sole ProprietorNo
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1649055104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in GA · DH011822
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
2578 GRESHAM RD SE, Atlanta, GA 30316
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHSIDE MEDICAL CENTER, INC.
Home Health
2578 GRESHAM RD SE
ATLANTA, GA 30316
Fulton County (404) 564-0431
SOUTHSIDE MEDICAL CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2578 GRESHAM RD SE
ATLANTA, GA 30316
Fulton County (404) 241-2336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Long's NPI number?

The NPI number for Kimberly Long is 1649055104. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Kimberly Long located?

Kimberly Long practices at 2578 Gresham Rd SE, Atlanta, GA 30316. The listed phone number is (404) 688-1350.

What is Kimberly Long's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Long was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.