location
search-icon
institution
C. Michael Locke, D.m.d.,m.d.,plc
Oral and Maxillofacial Surgery (Dentist) in Tullahoma, Tennessee
NPI 1811169071

C. Michael Locke, D.m.d.,m.d.,plc is a Oral and Maxillofacial Surgery (Dentist) based in Tullahoma, TN and is specialized in Oral and Maxillofacial Surgery. C. Michael Locke, D.m.d.,m.d.,plc practices in Tullahoma, TN. The NPI Number for C. Michael Locke, D.m.d.,m.d.,plc is 1811169071 and holds a License No. DS0000007685 (Tennessee).

The current practice location address for C. Michael Locke, D.m.d.,m.d.,plc is 105 Ledford Mill Rd Ste A, Tullahoma, TN and can be reached out via phone at 931-455-2105 and via fax at 931-455-2104. You can also correspond with C. Michael Locke, D.m.d.,m.d.,plc through the mailing address at 125 LEDFORD MILL RD, TULLAHOMA, TN - 37388-2278 (mailing address contact number: 931-455-2105).

Location: 105 Ledford Mill Rd Ste A, Tullahoma, TN, 37388-2278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811169071
Provider Name
C. Michael Locke, D.m.d.,m.d.,plc
Credential
Provider Entity Type
Organization
Address
105 Ledford Mill Rd Ste A, Tullahoma, TN, 37388-2278
Phone Number
931-455-2105
Fax Number
931-455-2104
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4013636 01 TN BLUE CROSS BLUE SHIELD
79318 01 TN UPIN
338420 01 TN UNITED CONCORDIA
3208948 05 TN
institution
Provider Business Practice Location Address Details
Address
105 Ledford Mill Rd Ste A
City
Tullahoma
State
Tennessee
Zip
37388-8262
Phone Number
931-455-2105
Fax Number
931-455-2104
person
Provider Business Mailing Address Details
Address
105 Ledford Mill Rd Ste A
City
Tullahoma
State
Tennessee
Zip
37388-8262
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.