Ethan Long Dds Pllc

LBN: Ethan Long Dds Pllc
Ethan Long Dds Pllc is an health care organization with primary practice located at 1105 E Lamar Alexander Pkwy , Maryville TN 37804-5130. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ethan Long Dds Pllc can be contacted via phone (865) 984-7757, or through Latham, Janet via phone (865) 984-7757.

Contact Information

Primary practice address
1105 E Lamar Alexander Pkwy Maryville TN 37804-5130
Phone: (865) 984-7757
Fax: (865) 724-2272
Website:
Map and Directions
Authorized official contact:
Name: Latham, Janet
Phone: (865) 984-7757

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1376329094
LBN Legal business name Ethan Long Dds Pllc
DBA Doing business as
Authorized official Latham, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2023
Last updated Sep 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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