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Deactivated NPI 1649384819 Deactivated / Inactive NPI Male Practitioner

Dr. Rodney Burt Long , DDS

Dentist - General Practice • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Rodney Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date January 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Rodney Long, DDS was a registered Dentist - General Practice practicing in Memphis, TN. Throughout an active medical career spanning 16 years, Dr. Long provided care at the practice location at 5575 POPLAR AVE STE 505 C until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

5575 Poplar Ave Ste 505 C

Memphis, TN 381190821

Telephone 9017679185

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN 1879

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5575 POPLAR AVE STE 505 C, MEMPHIS, TN 381190821 (Tel: 9017679185)

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Updated Business Mailing Address July 08, 2007

Registered at 5575 POPLAR AVE STE 505, MEMPHIS, TN 381190821 (Tel: 9017679185)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RODNEY LONG, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #1879 in TN)

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Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649384819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: January 31, 2022

Mailing Address

5575 Poplar Ave Ste 505

Memphis, TN 381190821

Phone: 9017679185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.