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Deactivated NPI 1306886924 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Eugene Long , DDS

Dentist - General Practice • South Jordan, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Daniel Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2006
NPI Deactivation Date June 11, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Long, DDS was a registered Dentist - General Practice practicing in South Jordan, UT. Throughout an active medical career spanning 20 years, Dr. Long provided care at the practice location at 10920 S RIVER FRONT PKWY until profile deactivation on 2026-06-11.

Practice Location & Contact Primary Location

Practice Address

10920 S River Front Pkwy
Roseman University College Of Dental Medicine

South Jordan, UT 840953538

Telephone 9078211744

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in South Jordan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
32 Specialists

Practicing in South Jordan, UT (1388 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AK 1138

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1104484377

Doctor of Philosophy (Ph.D.), Registered Pharmacist

Ahmad Al Ashi

Student in an Organized Health Care Education/Training Program

NPI 1114544269
Dr. Joshua Presley , DDS

Student in an Organized Health Care Education/Training Program

NPI 1134817075

Doctor of Dental Surgery

Dr. Dallin King , DMD

Student in an Organized Health Care Education/Training Program

NPI 1326734716

Doctor of Dental Medicine

Dr. Alex Gardner , DDS

Student in an Organized Health Care Education/Training Program

NPI 1508650714

Doctor of Dental Surgery

Dr. Bethany Green , DNP, MSN-ED, FNP-C

Nurse Practitioner - Family

NPI 1518512086

Doctor of Nursing Practice, MSNED, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated June 11, 2026

Record deactivated on June 11, 2026

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Updated Practice Location May 07, 2021

Registered at 34115 STERLING HIGHWAY, ANCHOR POINT, AK 99556 (Tel: 9072263700)

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Updated Business Mailing Address April 12, 2021

Registered at PO BOX 945, ANCHOR POINT, AK 995560945 (Tel: 9074359708)

NPI Profile Active January 03, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2013

Registered at 10920 S RIVER FRONT PKWY, ROSEMAN UNIVERSITY COLLEGE OF DENTAL MEDICINE, SOUTH JORDAN, UT 840953538 (Tel: 9078211744)

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Updated Business Mailing Address January 03, 2013

Registered at PO BOX 114, PAROWAN, UT 847610114 (Tel: 9078211744)

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Provider Name / Credentials Updated January 03, 2013

Recorded as DANIEL LONG, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2013

Dentist (License #1138 in AK)

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Initial NPI Registration & Enumeration June 08, 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: 1306886924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: January 03, 2013
Deactivation Date: June 11, 2026

Mailing Address

Po Box 114

Parowan, UT 847610114

Phone: 9078211744

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.