ETHAN LONG DDS PLLC
NPI 1376329094
Dentist - General Practice in Maryville, TN

Active since September 07, 2023
1105 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 984-7757(865) 724-2272 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Long Dds Pllc NPPES

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

ETHAN LONG DDS PLLC (NPI 1376329094) is a healthcare organization registered as a general practice in Maryville, Tennessee and active in the NPI registry since September 2023. The organization lists Janet Latham, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376329094
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameETHAN LONG DDS PLLC
Location Address1105 E LAMAR ALEXANDER PKWYMaryville, TN 37804-5130
Mailing Address1105 E Lamar Alexander PkwyMaryville, TN 37804-5130 · (865) 984-7757 · Fax (865) 724-2272
Fax(865) 724-2272
Organization SubpartNo
Authorized OfficialJanet LathamOffice Manager · (865) 984-7757
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
NPI 1376329094 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.

1105 E LAMAR ALEXANDER PKWY, Maryville, TN 37804

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 2

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

Dentist (General Practice)
1105 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Dentist
1105 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804

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 Dds PLLC's NPI number?

The NPI number for Ethan Long Dds PLLC is 1376329094. It was assigned to this organization in the NPPES registry on September 7, 2023.

Where is Ethan Long Dds PLLC located?

Ethan Long Dds PLLC is located at 1105 E Lamar Alexander Pkwy, Maryville, TN 37804. The listed phone number is (865) 984-7757.

What is Ethan 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 Ethan Long Dds PLLC was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.