| Steven W. Long DDS PC | |
|
40w177 Campton Crossings Dr St Charles IL 60175-6582 | |
| (630) 443-5000 | |
| (630) 443-8625 |
| Full Name | Steven W. Long DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 40w177 Campton Crossings Dr, St Charles, Illinois |
| Authorized Official Name and Position | Steven Wade Long (PRESIDENT/OWNER) |
| Authorized Official Contact | 6304435000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven W. Long DDS PC 40w177 Campton Crossings Dr St Charles IL 60175-6582 Ph: (630) 443-5000 | Steven W. Long DDS PC 40w177 Campton Crossings Dr St Charles IL 60175-6582 Ph: (630) 443-5000 |
| NPI Number | 1992804611 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992804611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19015884 (Illinois) | Primary |
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