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C. Michael Locke, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Tullahoma, Tennessee
NPI 1184721995

C. Michael Locke is a Oral and Maxillofacial Surgery (Dentist) based in Tullahoma, TN and is specialized in Oral and Maxillofacial Surgery. C. Michael Locke practices in Tullahoma, TN and has the professional credentials of DMD,MD. The NPI Number for C. Michael Locke is 1184721995 and holds a License No. 0000031540 (Tennessee).

The current practice location address for C. Michael Locke is 125 Ledford Mill Rd, Tullahoma, TN and can be reached out via phone at 931-455-2105 and via fax at 931-455-2104.

Location: 125 Ledford Mill Rd, Tullahoma, TN, 37388-2278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184721995
Provider Name
C. Michael Locke
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
125 Ledford Mill Rd, Tullahoma, TN, 37388-2278
Phone Number
931-455-2105
Fax Number
931-455-2104
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
338420 01 TN UNITED CONCORDIA
4013636 01 TN BLUE CROSS BLUE SHIELD
3208948 05 TN
institution
Provider Business Practice Location Address Details
Address
125 Ledford Mill Rd
City
Tullahoma
State
Tennessee
Zip
37388-2278
Phone Number
931-455-2105
Fax Number
931-455-2104
person
Provider Business Mailing Address Details
Address
125 Ledford Mill Rd
City
Tullahoma
State
Tennessee
Zip
37388-2278
Phone Number
931-455-2105
Fax Number
931-455-2104
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS0000007685 (Tennessee)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
0000031540 (Tennessee)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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