Harold Michael Long, D.D.S.
Dentist, General Practice in Tullahoma, TN. Individual provider (NPI-1).
NPI number1184635203
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184635203
- Entity type
- Individual (NPI-1)
- Name
- Harold Michael Long
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2247 | TN | Yes |
Practice location
211 E Lincoln StTullahoma, TN 37388-3633
Phone 931-455-2595 · Fax 931-455-4728
Mailing address
211 E Lincoln StTullahoma, TN 37388-3633
Phone 931-455-2595 · Fax 931-455-4728
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