Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932295797 Individual Practitioner Male Practitioner

Dr. Patrick W Long , DDS

Dentist • Shadyside, OH

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Long, DDS is a registered healthcare professional specializing in Dentist in Shadyside, OH. Practice services are available at 3775 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3775 Central Ave

Shadyside, OH 43947

Telephone 7406762604
Fax 7406768714
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Shadyside, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Shadyside, OH (2953 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 17545

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0579066 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1194796946

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2012

Registered at 3775 CENTRAL AVE, SHADYSIDE, OH 43947 (Tel: 7406762604)

📍
Updated Business Mailing Address August 08, 2012

Registered at PO BOX 147, SHADYSIDE, OH 439470147 (Tel: 7406762604)

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Provider Name / Credentials Updated August 08, 2012

Recorded as PATRICK LONG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2012

Dentist (License #17545 in OH)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932295797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: August 08, 2012
Sole Proprietor: Yes

Mailing Address

Po Box 147

Shadyside, OH 439470147

Phone: 7406762604

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.