Individual provider · Type 1 NPI

Ethan Michael Long, DDS

Dentist · Kodak, TN

NPI number 1144679523 Active

Practice location

2946 Winfield Dunn Pkwy, Suite 301
Kodak, TN 37764-4306

Fax (865) 465-3432

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X10270 (TN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1144679523

Ethan Michael Long, DDS's National Provider Identifier is 1144679523, issued on Jun 7, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kodak, TN. The record was last updated on Jun 7, 2016.