C. Michael Locke in Tullahoma - Oral And Maxillofacial Surgery
C. Michael Locke - NPI 1184721995
C. Michael Locke is a Oral And Maxillofacial Surgery in Tullahoma, Tennessee. C. Michael Locke practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for C. Michael Locke is 1184721995. The last update date is 2022-12-02.
C. Michael Locke's current location address is 125 Ledford Mill Rd, Tullahoma, Tennessee. You can contact this provider via phone number 9314552105 and fax number 9314552104. The mailing address for C. Michael Locke is 125 Ledford Mill Rd, Tullahoma, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C. Michael Locke |
|---|---|
| Address | 125 Ledford Mill Rd, Tullahoma, Tennessee |
| Phone Number | 9314552105 |
| Fax Number | 9314552104 |
| Sole Proprietor | Y |
| Credentials | D.M.D., M. |
NPI Number Detail
| NPI Number | 1184721995 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2022-12-02 |
Provider Mailing Address Detail
| Address | 125 Ledford Mill Rd |
|---|---|
| City | Tullahoma |
| State | Tennessee (TN) |
| Post Code | 373882278 |
| Phone Number | 9314552105 |
| Fax Number | 9314552104 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DS0000007685 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 338420 | TN | UNITED CONCORDIA | |
| 4013636 | TN | BLUE CROSS BLUE SHIELD | |
| 3208948 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to C. Michael Locke by the Centers for Medicare & Medicaid Services (CMS)?
The C. Michael Locke has been assigned the NPI (National Provider Identifier) 1184721995. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where C. Michael Locke is located?
The C. Michael Locke is situated at the following address: 125 Ledford Mill Rd, Tullahoma, TN, 373882278.
What is C. Michael Locke's specialized field of practice, and what is the corresponding taxonomy classification code?
The C. Michael Locke's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the C. Michael Locke receive its 1184721995 assignment from the Centers for Medicare & Medicaid Services?
The C. Michael Locke was assigned its 1184721995 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the C. Michael Locke's details last updated?
The information pertaining to the C. Michael Locke, including its address, specialty, and other details, was most recently updated on 2022-12-02.
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