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Contact Information

CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC
2285 RUDOLPHTOWN ROAD
SUITE 200
CLARKSVILLE, TN37043
 Phone: 931-552-3292
 Fax: 931-552-3243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CUMBERLAND SURGICAL ARTS AND ASSOCIATES PLLC · (Female)

NPI Number 1558879007
Status Active
Credentials
Entity Individual
Enumeration date 01/18/2018
Last updated 05/27/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # DN011393
  • KY License # 50700
  • MS License # 254190
  • TN License # DS0000005220
  • TN License # DS0000008427
  • TN License # DS0000008953
  • TN License # DS0000009847
  • TN License # MD0000040738
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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