# JON A LONG

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063682151
- **Authorized official:** DR. JON A LONG D.D.S (DENTIST)
- **Authorized official phone:** (615) 735-0808

## Contact information

- **Practice address:** 120 HOSPITAL DR, CARTHAGE, TN 37030-1017
- **Practice address phone:** (615) 735-0808
- **Mailing address:** 120 HOSPITAL DR, CARTHAGE, TN 37030-1017
- **Mailing address phone:** (615) 735-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7883 | TN | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 03/05/2008