| Jon A Long | |
|
120 Hospital Dr Carthage TN 37030-1017 | |
| (615) 735-0808 | |
| Not Available |
| Full Name | Jon A Long |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 Hospital Dr, Carthage, Tennessee |
| Authorized Official Name and Position | Jon A Long (DENTIST) |
| Authorized Official Contact | 6157350808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon A Long 120 Hospital Dr Carthage TN 37030-1017 Ph: (615) 735-0808 | Jon A Long 120 Hospital Dr Carthage TN 37030-1017 Ph: (615) 735-0808 |
| NPI Number | 1063682151 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063682151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7883 (Tennessee) | Primary |