Search › Illinois › 1223X0400X
Gregory Long, DMD
NPI 1790310431 · on the registry since 2020
Practice
- Address
- 7131 N Knoxville Ave Ste B
Peoria, IL 61614 - Phone
- (309) 692-2700
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois