Dr. Wayne Benjamin Long , DDS
Dentist - General Practice • Portland, TN
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. Wayne Long has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Wayne Long, DDS was a registered Dentist - General Practice practicing in Portland, TN. Throughout an active medical career spanning 14 years, Dr. Long provided care at the practice location at 100 MAIN ST until profile deactivation on 2021-02-04.
Practice Location & Contact Primary Location
100 Main St
Suite 105
Portland, TN 371481241
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Portland, TN
Practicing in Portland, TN (2175 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Record deactivated on February 04, 2021
NPI status registered as active in NPPES database
Registered at 100 MAIN ST, SUITE 105, PORTLAND, TN 371481241 (Tel: 6153259690)
Registered at 100 MAIN ST, SUITE 105, PORTLAND, TN 371481241 (Tel: 6153259690)
Recorded as WAYNE LONG, DDS
Dentist (License #DS3074 in TN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
100 Main St, Suite 105
Portland, TN 371481241
Phone: 6153259690
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