1. Home
  2. Directory
  3. West Virginia
  4. Williamson
  5. Dentist
  6. NPI Profile

JASON R LONG DDS, PLLC
NPI 1255670063
Dentist - General Practice in Williamson, WV

Active since February 14, 2013
1628 WEST 3RD AVE, WILLIAMSON, WV 25661(304) 236-2366(304) 899-2227 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason R Long Dds, Pllc NPPES

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

JASON R LONG DDS, PLLC (NPI 1255670063) is a healthcare organization registered as a general practice in Williamson, West Virginia and active in the NPI registry since February 2013. The organization lists Jenny Garcia-rocha, Sr Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1255670063
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJASON R LONG DDS, PLLC
Location Address1628 WEST 3RD AVEWilliamson, WV 25661
Mailing Address1628 West 3rd AveWilliamson, WV 25661 · (304) 236-2366 · Fax (304) 899-2227
Phone(304) 236-2366
Fax(304) 899-2227
Organization SubpartNo
Authorized OfficialJenny Garcia-rochaSr Credentialing Team Lead · (972) 869-3789
Enumeration DateFebruary 14, 2013
Last NPPES UpdateAugust 20, 2025
✔ NPI 1255670063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1628 WEST 3RD AVE, Williamson, WV 25661
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MEGAN NICHOLE TAYLOR DDS
Dentist
1628 WEST 3RD AVE
WILLIAMSON, WV 25661
Mingo County (304) 236-2366
DR. JASON R. LONG DDS
Dentist (General Practice)
1628 WEST 3RD AVE
WILLIAMSON, WV 25661
Mingo County (304) 236-2366
ALEXANDER COLBY LUSK DDS
Dentist
1628 WEST 3RD AVE
WILLIAMSON, WV 25661
Mingo County (304) 236-2366
DR. SAM C OLIVE JR. DDS
Dentist
1628 WEST 3RD AVE
WILLIAMSON, WV 25661
Mingo County (304) 236-2366

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 Jason R Long Dds, PLLC's NPI number?

The NPI number for Jason R Long Dds, PLLC is 1255670063. It was assigned to this organization in the NPPES registry on February 14, 2013.

Where is Jason R Long Dds, PLLC located?

Jason R Long Dds, PLLC is located at 1628 West 3rd Ave, Williamson, WV 25661. The listed phone number is (304) 236-2366.

What is Jason R Long Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jason R Long Dds, PLLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.