Ethan Long DDS PLLC
Ethan Long DDS PLLC is a General Practice Dentistry in Maryville, Tennessee. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1105 E Lamar Alexander PkwyMaryville, TN 37804-5130
Phone: (865) 984-7757
Fax: (865) 724-2272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1376329094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janet Latham — Office Manager · (865) 984-7757 |
| NPI enumerated | September 7, 2023 |
| Last updated in NPPES | September 7, 2023 |
| Certification date | September 7, 2023 |
| Mailing address | 1105 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 |
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Dr. John David George, DDS
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