Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith M Long, DDS

Individual provider Dentist · NPI 1649320672

Dr. Keith M Long, DDS is a Dentist in Lakeport, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

755 11th St
Lakeport, CA 95453-3705
Phone: (707) 263-7023
Fax: (707) 263-6963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40662 (CA)

Record details

NPI number1649320672
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJune 4, 2019
Mailing address755 11th St, Lakeport, CA 95453-3705

Other providers in Lakeport