IndividualActive
Audra Long, DDS, MS
NPI 1922475458 · Orthodontics and Dentofacial Orthopedics Dentistry · Watertown, WI
Provider details
- NPI number
- 1922475458
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Female
- Sole proprietor
- No
- License
- 1001200 - 15 (WI)
Specialties & taxonomies
Dental Providers
Practice location
1510 Doctors Ct
Watertown, WI 53094-4102
Phone: (920) 261-3560
Approximate (ZIP-level) locationGet directions
Mailing address
1520 Rockridge Way
Waukesha, WI 53188-8009
Registry dates
- Enumerated
- 2015-09-01
- Last updated
- 2015-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.