| Jason R Long Dds, Pllc | |
|
1628 West 3rd Ave Williamson WV 25661 | |
| (304) 236-2366 | |
| (304) 899-2227 |
| Full Name | Jason R Long Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1628 West 3rd Ave, Williamson, West Virginia |
| Authorized Official Name and Position | Jenny Garcia-rocha (SR CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason R Long Dds, Pllc 1628 West 3rd Ave Williamson WV 25661 Ph: (304) 236-2366 | Jason R Long Dds, Pllc 1628 West 3rd Ave Williamson WV 25661 Ph: (304) 236-2366 |
| NPI Number | 1255670063 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 08/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255670063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |