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Dr. Jason Scott Lilly, DMD
Oral and Maxillofacial Surgery (Dentist) in Clarksville, Tennessee
NPI 1912226895

Jason Scott Lilly is a Oral and Maxillofacial Surgery (Dentist) based in Clarksville, TN and is specialized in Oral and Maxillofacial Surgery. Jason Scott Lilly practices in Clarksville, TN and has the professional credentials of DMD. The NPI Number for Jason Scott Lilly is 1912226895 and holds a License No. (Tennessee).

The current practice location address for Jason Scott Lilly is 2285 Rudolphtown Rd, Clarksville, TN and can be reached out via phone at 931-552-3292 and via fax at 931-552-3243. You can also correspond with Jason Scott Lilly through the mailing address at 2285 RUDOLPHTOWN RD, CLARKSVILLE, TN - 37043 (mailing address contact number: 931-552-3292).

Location: 2285 Rudolphtown Rd, Clarksville, TN, 37043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912226895
Provider Name
Jason Scott Lilly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2285 Rudolphtown Rd, Clarksville, TN, 37043
Phone Number
931-552-3292
Fax Number
931-552-3243
Provider Enumeration Date
05/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2285 Rudolphtown Rd
City
Clarksville
State
Tennessee
Zip
37043
Phone Number
931-552-3292
Fax Number
931-552-3243
person
Provider Business Mailing Address Details
Address
2285 Rudolphtown Rd
City
Clarksville
State
Tennessee
Zip
37043
Phone Number
931-552-3292
Fax Number
931-552-3243
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
TN9847 (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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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