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DR. ETHAN MICHAEL LONG DDS
NPI 1144679523
Dentist in Kodak, TN

Active since June 07, 2016
2946 WINFIELD DUNN PKWY, SUITE 301, KODAK, TN 37764(865) 465-7058(865) 465-3432 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ethan Michael Long Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN MICHAEL LONG DDS (NPI 1144679523) is an individual dentist in Kodak, Tennessee, licensed in Tennessee (10270) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1144679523
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ETHAN MICHAEL LONGCredential: DDS
Location Address2946 WINFIELD DUNN PKWY, SUITE 301Kodak, TN 37764-4306
Mailing Address2946 Winfield Dunn Pkwy, Suite 301Kodak, TN 37764-4306 · (865) 465-7058 · Fax (865) 465-3432
Phone(865) 465-7058
Fax(865) 465-3432
Sole ProprietorYes
Enumeration DateJune 7, 2016
✔ NPI 1144679523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · 10270
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2946 WINFIELD DUNN PKWY, Kodak, TN 37764
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITNEY DREES PHARMD
Pharmacist
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 933-4676
ASHLYN JONES LOY PHARMD.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 933-4676
WILLIAM MITCHELL DPT
Physical Therapist
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 932-1088
MORGAN TAYLOR HARDISON
Nurse Practitioner (Family)
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 933-9950
EUGENE STINSON DDS
Dentist (General Practice)
2946 WINFIELD DUNN PKWY, SUITE 301
KODAK, TN 37764
Sevier County (865) 465-7058
GABRIELLE ALYSSA BROADBENT PT, DPT
Physical Therapist
2946 WINFIELD DUNN PKWY, STE 106
KODAK, TN 37764
Sevier County (865) 932-1088
MICA MATHISON DMD
Dentist (General Practice)
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 465-7058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Long's NPI number?

The NPI number for Ethan Long is 1144679523. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Ethan Long located?

Ethan Long practices at 2946 Winfield Dunn Pkwy Suite 301, Kodak, TN 37764. The listed phone number is (865) 465-7058.

What is Ethan Long's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Ethan Long accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Ethan Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Long was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.