Individual
DR. THOMAS EUGENE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
77 TIMBERLANE DR, CHILLICOTHE, OH 45601-1939
(614) 313-4957
Mailing address
77 TIMBERLANE DR, CHILLICOTHE, OH 45601-1939
(614) 313-4957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16197
OH
Other
Enumeration date
08/10/2006
Last updated
09/04/2009
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