DR. JASON R. LONG (NPI# 1366554479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366554479 |
| Entity Type | Individual |
| Full Name | DR. JASON R. LONG |
| Credential | DDS |
| Practice Address |
1628 West 3rd Ave Williamson WV 25661 |
| Practice Telephone | 3042362366 |
| Mailing Telephone | (304) 236-2366 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3626 | WV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526668 | Jason Long | Emergency Medicine | 16727 Blue Shine Trl, Cypress, TX 77433-2596 | 2012-04-03 |
| 1063711075 | Jason Long | Radiology Practitioner Assistant | 2139 Andrews St, Fort Collins, CO 80528-7073 | 2011-03-17 |
| 1821223058 | Jason Long | Physical Therapist | 2121 S Columbia Ave Ste Ll6, Tulsa, OK 74114-3510 | 2009-05-18 |
| 1093335481 | Jason Long | Specialist/Technologist | 543 Moriches Middle Island Rd, Manorville, NY 11949-2121 | 2020-04-26 |
| 1255893129 | Jason Long | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-04-01 |
| 1831461060 | Jason Long | Nurse Anesthetist, Certified Registered | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-02-03 |
| 1033416151 | Jason Long | Surgery | 5841 S. Maryland Ave, University of Chicago Hospitals, Chicago, IL 60637 | 2011-02-25 |
| 1629207113 | Jason D Long | Radiology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2009-07-06 |
| Street Address |
1628 WEST 3RD AVE |
| City | WILLIAMSON |
| State | WV |
| Zip Code | 25661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265882641 | Megan Nichole Taylor | Dentist | 1628 West 3rd Ave, Williamson, WV 25661 | 2016-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315715 | Leah Danielle Davis | Technician | Rr 1 200b, Left Fork Marrowbone, Williamson, WV 25661 | 2020-10-30 |
| 1487253209 | Rosalene Diamond | Technician | 398 Davis Branch Road, Wiilliamson, WV 25661 | 2020-10-22 |
| 1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
| 1194322917 | Randy Lee Davis | Technician | 511 Dickerson Street Apt. #7, Williamson, WV 25661 | 2020-10-05 |
| 1679188320 | Deborah Ann Smith | Technician | 25 Ben Street, Williamson, WV 25661 | 2020-09-10 |
| 1356956262 | Jessica Ann Payne | Technician | 1203 Buffalo Creek Road, Lot#1, Williamson, WV 25661 | 2020-09-09 |
| 1154934396 | Jahala Kay Kozee | Technician | 164 Us Rt. 52, Williamson, WV 25661 | 2020-08-27 |
| 1952914186 | Ruth Elaine Kirk | Technician | 45 Wincole Lane, Williamson, WV 25661 | 2020-08-27 |
| 1831702208 | Mary Elizabeth Gilman | Technician | 436 State Route 65, Williamson, WV 25661 | 2020-08-26 |
| 1437760253 | Dianna Lynn Brown | Technician | 21 Old Field Branch Road, Williamson, WV 25661 | 2020-08-14 |
| Find all providers in zip 25661 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417306796 | Shaughna Szymanski Winslow | Dentist | Po Box 3, Williamson, NY 14589 | 2016-06-08 |
| 1316156896 | Michael Douglas Goldstein | Dentist | 474 N Rover Rd, Williamson, GA 30292-3754 | 2007-05-22 |
| 1336286327 | James W Albright | Dentist | 4191 Ridge Rd, Williamson, NY 14589-9702 | 2007-01-31 |
| 1174699144 | Michael A Herbert | Dentist | 6127 Maple Ave, Williamson, NY 14589-0003 | 2006-11-28 |
| 1043724115 | Michael A. Herbert. Dds | Dentist | 6127 Maple Ave, Williamson, NY 14589-8001 | 2017-11-27 |
| 1811385826 | Apple Blossom Dental,pllc | Dentist | 3800 Railroad Ave, Williamson, NY 14589-9340 | 2014-12-26 |
| 1255670063 | Dr. Jason R. Long Dds, Pllc | Dentist | 215 Logan St, Suite 41, Williamson, WV 25661-3600 | 2013-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1063038677 | Angela Nicole Stowers | Dentist | 2601 1st Ave, Nitro, WV 25143-1713 | 2020-06-19 |
| 1700400231 | Tyler Reed Myers | Dentist | 45 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-06-01 |
| 1245871326 | Mason Bishop | Dentist | 402 Red Oak St, Summersville, WV 26651-1000 | 2019-09-30 |
| 1710547039 | Christopher Stephen Mallow | Dentist | 9030 Petersburg Pike, Upper Tract, WV 26866-8014 | 2019-06-18 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1235797804 | Brennan Matthew Wood | Dentist | 142 Holiday Ln, Lewisburg, WV 24901-9315 | 2019-05-30 |
| 1568923837 | Yulia Meadows | Dentist | 8 Middletown Rd, Fairmont, WV 26554-8102 | 2019-03-28 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSON |
| Zip Code | 25661 |
Please comment or provide details below to improve the information on DR. JASON R. LONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.