Harold Michael Long, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2247 Issued in TN

Practice address

211 E Lincoln St
Tullahoma, TN 37388-3633

Phone

(931) 455-2595

Fax

(931) 455-4728

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184635203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E LINCOLN ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883633",
            "telephone_number": "931-455-2595",
            "fax_number": "931-455-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E LINCOLN ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883633",
            "telephone_number": "931-455-2595",
            "fax_number": "931-455-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "HAROLD",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "2247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "12",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Care Centers of America, Inc.
• Lifeaid Medical Equipment LLC
• Haley Limbaugh
• C. Michael Locke, D.M.D., M.D.
• John Logan
• Rachel Longshore
• Gary Keith Lovelady, M.D.
• Kathleen Ann Loveland, BSW
• Miranda A Lowery, RD
• Anastasia Lowhorn, RN

• General Practice Dentistry in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.