Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Michael Long, DDS

Individual provider Dentist · NPI 1144679523

Dr. Ethan Michael Long, DDS is a Dentist in Kodak, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2946 Winfield Dunn Pkwy Ste 301
Kodak, TN 37764-4306
Phone: (865) 465-7058
Fax: (865) 465-3432
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10270 (TN)

Record details

NPI number1144679523
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESJune 7, 2016
Mailing address2946 Winfield Dunn Pkwy, Suite 301, Kodak, TN 37764-4306

Other providers in Kodak