Provider Demographics
NPI:1033595046
Name:LONG, STUART N (DMD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:N
Last Name:LONG
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 W MINERAL AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5698
Mailing Address - Country:US
Mailing Address - Phone:303-738-9499
Mailing Address - Fax:303-738-9540
Practice Address - Street 1:91 W MINERAL AVE STE 150
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5698
Practice Address - Country:US
Practice Address - Phone:303-738-9499
Practice Address - Fax:303-738-9540
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2031341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice