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DR. KEITH M LONG DDS
NPI 1649320672
Dentist in Lakeport, CA

Active since January 11, 2007
755 11TH ST, LAKEPORT, CA 95453(707) 263-7023(707) 263-6963 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith M Long Dds NPPES

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

DR. KEITH M LONG DDS (NPI 1649320672) is an individual dentist in Lakeport, California, licensed in California (40662) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649320672
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEITH M LONGCredential: DDS
Location Address755 11TH STLakeport, CA 95453-3705
Mailing Address755 11th StLakeport, CA 95453-3705 · (707) 263-7023 · Fax (707) 263-6963
Phone(707) 263-7023
Fax(707) 263-6963
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJune 4, 2019
✔ NPI 1649320672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 40662
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
755 11TH ST, Lakeport, CA 95453
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Other Providers at the Same Location NPPES 3

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

WAYNE H SCHEIDEMANN M.D.
Orthopaedic Surgery
755 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-3602
STEPHANIE SANDRETTI, DDS AND MATTHEW SANDRETTI, DDS, MSD INC
Clinic/Center (Dental)
755 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-7023
DR. HENRY ALLEN LONG JR. D.D.S.
Dentist (General Practice)
755 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-7023

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 Keith Long's NPI number?

The NPI number for Keith Long is 1649320672. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Keith Long located?

Keith Long practices at 755 11th St, Lakeport, CA 95453. The listed phone number is (707) 263-7023.

What is Keith Long's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Keith Long was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.