C. Michael Locke
D.M.D., M.D. | Dentist | 30+ years Exp
125 Ledford Mill Rd, Tullahoma
Tennessee, 37388-2278
931-455-2105 931-455-2104
Maps & DirectionsC. Michael Locke is a Tullahoma, Tennessee based Dentist with
30 years of experience in
Dentist. He completed his graduation from
Vanderbilt University School Of Medicine in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of C. Michael Locke is
DS0000007685 for Oral and Maxillofacial Surgery in Tennessee. His current practice location is
125 Ledford Mill Rd, Tullahoma. Patients can reach him at
931-455-2105.
C. Michael Locke is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
C. Michael Locke speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | C. Michael Locke |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D., M.D. |
| Experience: | 30+ years |
| Medical School Attended: | Vanderbilt University School Of Medicine |
| Graduation Year: | 1996 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 125 Ledford Mill Rd, Tullahoma,
Tennessee, 37388-2278 |
| Phone: | 931-455-2105 |
| Fax: | 931-455-2104 |
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 are as mentioned below.
| PAC ID: | 3678486388 |
| Enrollment ID: | I20031110000172 |
| NPI Number: | 1184721995 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 02 Dec, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for C. Michael Locke are as mentioned below.
| License Number | Specialization | State | Status | |
| DS0000007685 | Oral and Maxillofacial Surgery | Tennessee | Primary | |
| 0000031540 | Oral & Maxillofacial Surgery | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with C. Michael Locke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 338420 | Other | Tennessee | UNITED CONCORDIA |
| 4013636 | Other | Tennessee | BLUE CROSS BLUE SHIELD |
| 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: | 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 at
125 Ledford Mill Rd, Tullahoma, Tennessee or can
call to book an appointment on 931-455-2105.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.