Organization
JASON R LONG DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1628 WEST 3RD AVE, WILLIAMSON, WV 25661
(304) 236-2366
(304) 899-2227
Mailing address
1628 WEST 3RD AVE, WILLIAMSON, WV 25661
(304) 236-2366
(304) 899-2227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/14/2013
Last updated
08/20/2025
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