Individual
DR. JASON R. LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1628 WEST 3RD AVE, WILLIAMSON, WV 25661
(304) 236-2366
Mailing address
1628 WEST 3RD AVE, WILLIAMSON, WV 25661
(304) 236-2366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3626
WV
Other
Enumeration date
08/31/2006
Last updated
07/21/2022
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