Dr. Jason R. Long Dds, Pllc | |
215 Logan St Suite 41 Williamson WV 25661-3600 | |
(304) 236-2366 | |
(304) 899-2227 |
Full Name | Dr. Jason R. Long Dds, Pllc |
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Speciality | Dentist - General Practice |
Location | 215 Logan St, Williamson, West Virginia |
Authorized Official Name and Position | Jason Ryan Long (OWNER) |
Authorized Official Contact | 3042362366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Jason R. Long Dds, Pllc 215 Logan St Suite 41 Williamson WV 25661-3600 Ph: (304) 236-2366 | Dr. Jason R. Long Dds, Pllc 215 Logan St Suite 41 Williamson WV 25661-3600 Ph: (304) 236-2366 |
NPI Number | 1255670063 |
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Provider Enumeration Date | 02/14/2013 |
Last Update Date | 01/20/2015 |
Identifier | Type | State | Issuer |
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1255670063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |