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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.