DR. Jason R. Long, DDS
NPI #1366554479 in Williamson, West Virginia
Provider Information
- NPI Number
- 1366554479
- Entity Type
- Individual
- Name
- DR. Jason R. Long, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1628 WEST 3RD AVE
- City
- Williamson
- State
- West Virginia
- ZIP Code
- 25661
- Phone
- (304) 236-2366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
| Provider Name | |
|---|---|
| Jason R Long Dds, Pllc |
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