Healthcare Provider Details
I. General information
NPI: 1568396539
Provider Name (Legal Business Name): DAVID LONG DDS MSD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 COOL SPRINGS BLVD STE 260
FRANKLIN TN
37067-6475
US
IV. Provider business mailing address
1208 WOODLAND ST
NASHVILLE TN
37206-2819
US
V. Phone/Fax
- Phone: 571-245-4304
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223E0200X |
| Taxonomy | Endodontics |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
LONG
Title or Position: ENDODONTIST/OWNER
Credential: DDS
Phone: 571-245-4304