Organization
JON A LONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON A LONG D.D.S (DENTIST)
(615) 735-0808
Entity
Organization
Contact information
Practice address
120 HOSPITAL DR, CARTHAGE, TN 37030-1017
(615) 735-0808
Mailing address
120 HOSPITAL DR, CARTHAGE, TN 37030-1017
(615) 735-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7883
TN
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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