| Dr Ethan Michael Long, DDS | |
|
2946 Winfield Dunn Pkwy, Suite 301, Kodak, TN 37764-4306 | |
| (865) 465-7058 | |
| (865) 465-3432 |
| Full Name | Dr Ethan Michael Long |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 2946 Winfield Dunn Pkwy, Kodak, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144679523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10270 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Michael Long, DDS 2946 Winfield Dunn Pkwy, Suite 301, Kodak, TN 37764-4306 Ph: (865) 465-7058 | Dr Ethan Michael Long, DDS 2946 Winfield Dunn Pkwy, Suite 301, Kodak, TN 37764-4306 Ph: (865) 465-7058 |
Noelan Schafer, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2946 Winfield Dunn Pkwy Ste 301, Kodak, TN 37764 Phone: 865-465-7058 | |
Dr. Joseph Roberto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2946 Winfield Dunn Pkwy Ste 301, Kodak, TN 37764 Phone: 865-465-7058 | |
Mica Mathison, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2946 Winfield Dunn Pkwy, Kodak, TN 37764 Phone: 865-465-7058 | |
Dr. Tiffinie A. Allen-evans, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9618 Gunnies Dr, Kodak, TN 37764 Phone: 865-978-7646 |