Martin Knox Long Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS2918 Issued in TN

Practice address

4841 Hixson Pike Ste G
Hixson, TN 37343-4431

Phone

(423) 877-2043

NPI assigned

Aug 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1710170980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 HIXSON PIKE STE G",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434431",
            "telephone_number": "423-877-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 HIXSON PIKE STE G",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434431",
            "telephone_number": "423-877-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARTIN",
        "middle_name": "KNOX",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS2918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lasheda Antrice Little
• Kristin Liveris, PHARMD
• Lynne Lockie, MSW
• Albert Logan
• Cooper Roberts Long, DDS
• Sarah Elise Long
• Stephen M Long, PA-C
• Christopher Adam Lord, M.D.
• Rebecca M Lott, SLP
• Robert Walter Lovelace, PTA

• General Practice Dentistry in Hixson, TN
• Providers in Hixson, 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 Aug 21, 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.