C. Michael Locke, D.M.D.,M.D.,Plc
LBN: C. Michael Locke, D.M.D.,M.D.,Plc
C. Michael Locke, D.M.D.,M.D.,Plc is an health care organization with primary practice located at 105 Ledford Mill Rd Ste A , Tullahoma TN 37388-8262. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
C. Michael Locke, D.M.D.,M.D.,Plc can be contacted via phone (931) 455-2105, or through Locke, C. Michael via phone (931) 455-2105.
Contact Information
Primary practice address
105 Ledford Mill Rd Ste A
Tullahoma TN 37388-8262
Phone: (931) 455-2105
Fax: (931) 455-2104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS0000007685 | Tennessee |
Profile Details
| NPI number | 1811169071 |
|---|---|
| LBN Legal business name | C. Michael Locke, D.M.D.,M.D.,Plc |
| DBA Doing business as | |
| Authorized official | Locke, C. Michael D.M.D.,M.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2008 |
| Last updated | Dec 2nd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811169071 | NPPES |
| Tennessee | Other | 4013636 | BLUE CROSS BLUE SHIELD |
| Tennessee | Other | 79318 | BLUE CROSS BLUE SHIELD |
| Tennessee | Other | 338420 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | 3208948 | BLUE CROSS BLUE SHIELD |
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