Doctor profile · Federal record
Dr. Ethan Long, DDS
Dentist · Kodak, TN
- NPI 1144679523
- 10 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2946 Winfield Dunn Pkwy, Suite 301
Kodak, TN 377644306
(865) 465-7058
fax (865) 465-3432
Credentials & registration
- NPI registered
- June 2016 — 10 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Tennessee #10270
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144679523. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$97
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 3 | $96.91 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
19
Patients
18
Total drug cost
$64
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 19 | 18 | $64 |
Frequently asked questions
What is Dr. Ethan Long's medical specialty?
Dr. Ethan Long practices Dentist in Kodak, TN.
Where does Dr. Ethan Long practice?
Dr. Ethan Long practices at 2946 Winfield Dunn Pkwy, Kodak, TN 377644306. Office phone: 8654657058.
What is Dr. Ethan Long's NPI?
Dr. Ethan Long's National Provider Identifier (NPI) is 1144679523, issued by NPPES.