Individual
DR. JON ALAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 HOSPITAL DR, CARTHAGE, TN 37030-1017
(615) 735-0808
(615) 735-0808
Mailing address
120 HOSPITAL DR, CARTHAGE, TN 37030-1017
(615) 735-0808
(615) 735-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7883
TN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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