Individual provider · Type 1 NPI
Audra Long, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Watertown, WI
Practice location
1510 Doctors Ct
Watertown, WI 53094-4102
Mailing address
1520 Rockridge Way
Waukesha, WI 53188-8009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 1001200 - 15 (WI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Watertown
About NPI 1922475458
Audra Long, DDS, MS's National Provider Identifier is 1922475458, issued on Sep 1, 2015. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Watertown, WI. The record was last updated on Sep 1, 2015.