National Provider Identifier Database

PLATEAU ORAL SURGERY PC
Oral and Maxillofacial Surgery

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.


Contact Information

PLATEAU ORAL SURGERY, PC
920 S WILLOW AVE
COOKEVILLE, TN38501-4150
Phone: 931-525-6059
Fax: 931-525-6079
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for PLATEAU ORAL SURGERY, PC

NPI Number 1730407560
Legal business name
LBN
PLATEAU ORAL SURGERY, PC
Authorized official NANCY KELLY - (INSURANCE COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 05/04/2010
Last updated 06/20/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: D57545
  • TN Medicaid: 3226373

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.

Reviews for PLATEAU ORAL SURGERY, PC

There are currently no reviews for PLATEAU ORAL SURGERY, PC


NPIdb - Home
v2.201