Dr. Ethan Michael Long is a Kodak, Tennessee based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ethan Michael Long is 10270 for Dentistry in Tennessee. His current practice location is 2946 Winfield Dunn Pkwy, Suite 301, Kodak. Patients can reach him at 865-465-7058.
Dr. Ethan Michael Long is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ethan Michael Long speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Ethan Michael Long
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2946 Winfield Dunn Pkwy, Suite 301, Kodak, Tennessee, 37764-4306
Phone:
865-465-7058
Fax:
865-465-3432
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1144679523
NPI Enumeration Date:
07 Jun, 2016
NPI Last Update On:
07 Jun, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ethan Michael Long are as mentioned below.
License Number
Specialization
State
Status
10270
Dentistry
Tennessee
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2946 Winfield Dunn Pkwy, Suite 301 Kodak, Tennessee
Zip:
37764-4306
Phone Number:
865-465-7058
Fax Number:
865-465-3432
Patients can reach Dr. Ethan Michael Long at 2946 Winfield Dunn Pkwy, Suite 301, Kodak, Tennessee or can call to book an appointment on 865-465-7058. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.