Individual provider · Type 1 NPI

Charles Anthony Long, DDS

Oral and Maxillofacial Surgery (Dentist) · Fort Hood, TX

NPI number 1972172971 Active

Practice location

590 Medical Center Road
Fort Hood, TX 76544-5060

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X42724 (TX)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X00204758 (CO)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X42724 (TX)
Dentist 122300000X00204758 (CO)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1972172971

Charles Anthony Long, DDS's National Provider Identifier is 1972172971, issued on Jun 23, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Hood, TX. The record was last updated on Jul 14, 2026.