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

Other providers in Kodak