Jason R Long Dds, Pllc
NPI #1255670063 in Williamson, West Virginia
Provider Information
- NPI Number
- 1255670063
- Entity Type
- Organization
- Organization Name
- Jason R Long Dds, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 14, 2013
- Last Updated
- Aug 20, 2025
Practice Location
- Address
- 1628 WEST 3RD AVE
- City
- Williamson
- State
- West Virginia
- ZIP Code
- 25661
- Phone
- (304) 236-2366
Authorized Official
- Name
- JENNY GARCIA-ROCHA
- Title
- SR CREDENTIALING TEAM LEAD
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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