C. Michael Locke, D.m.d.,m.d.,plc is a Oral and Maxillofacial Dental Clinic in Tullahoma, Tennessee. It is located at 105 Ledford Mill Rd Ste A, Tullahoma, TN and its contact number is 931-455-2105. The authorized person for C. Michael Locke, D.m.d.,m.d.,plc is Dr. C. Michael Locke
who is Owner of the clinic and their contact number is 931-455-2105. The primary license number for C. Michael Locke, D.m.d.,m.d.,plc is DS0000007685 (Oral and Maxillofacial Surgery) in Tennessee. C. Michael Locke, D.m.d.,m.d.,plc Clinic deals with 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.
Complete Clinic Profile:
C. Michael Locke, D.m.d.,m.d.,plc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
C. Michael Locke, D.m.d.,m.d.,plc
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
105 Ledford Mill Rd Ste A, Tullahoma, Tennessee, 37388-8262
Phone:
931-455-2105
Fax:
931-455-2104
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. C. Michael Locke
Position:
Owner
Contact Number:
931-455-2105
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for C. Michael Locke, D.m.d.,m.d.,plc clinic are as mentioned below.
NPI Number:
1811169071
NPI Enumeration Date:
27 Mar, 2008
NPI Last Update On:
02 Dec, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for C. Michael Locke, D.m.d.,m.d.,plc are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
DS0000007685
Tennessee
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4013636
Other
Tennessee
Blue Cross Blue Shield
79318
Other
Tennessee
Upin
338420
Other
Tennessee
United Concordia
3208948
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
C. Michael Locke, D.m.d.,m.d.,plc 125 Ledford Mill Rd, Tullahoma, Tennessee
Zip:
37388-2278
Phone Number:
931-455-2105
Fax Number:
931-455-2104
Patients can reach C. Michael Locke, D.m.d.,m.d.,plc at 105 Ledford Mill Rd Ste A, Tullahoma, Tennessee or can call to book an appointment on 931-455-2105. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.