Individual
DR. COOPER ROBERTS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2127 CLEMATIS DR, HIXSON, TN 37343-3511
(423) 619-9263
Mailing address
2127 CLEMATIS DR, HIXSON, TN 37343-3511
(423) 619-9263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007653
AL
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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