Jon A Long | |
120 Hospital Dr Carthage TN 37030-1017 | |
(615) 735-0808 | |
Not Available |
Full Name | Jon A Long |
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Speciality | Dentist - General Practice |
Location | 120 Hospital Dr, Carthage, Tennessee |
Authorized Official Name and Position | Jon A Long (DENTIST) |
Authorized Official Contact | 6157350808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jon A Long 120 Hospital Dr Carthage TN 37030-1017 Ph: (615) 735-0808 | Jon A Long 120 Hospital Dr Carthage TN 37030-1017 Ph: (615) 735-0808 |
NPI Number | 1063682151 |
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Provider Enumeration Date | 03/05/2008 |
Last Update Date | 03/05/2008 |
Identifier | Type | State | Issuer |
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1063682151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 7883 (Tennessee) | Primary |