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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES R. LONGO, DDS

Active Sole Proprietor

CHARLES R. LONGO, DDS is a Dentist healthcare provider located in FAYETTEVILLE, New York. NPI 1811017890 is currently active in the NPPES registry. Verify at CMS.

Dentist · FAYETTEVILLE, NY

Registration Details

NPI Number
1811017890
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2007 (19.190896482474 yrs)
Last Updated
Oct 21, 2014
License
036051 (NY)
Sole Proprietor
Yes

Practice Information

Address
514 TOWNE DR
FAYETTEVILLE, NY, 130661331
Browse NY providers · Browse ZIP 13066
Phone
3156371235
Fax
3156374833
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FAYETTEVILLE, NY

Name Credential NPI
PAUL F. NOZYNSKI D.D.S.,P.C. 1689765026
DR. MARK DAVID DROPKIN DDS 1730200080
DR. MARK A OBERFERST DDS 1043437585
DAVID ARTHUR GREENWAY DDS 1992907752
DR. JOSEPH G PERRY D.D.S 1205035268
DR. STEPHEN JAY ROTHENBERG DDS 1699964205
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.