Locke, C. Michael

Locke, C. Michael is an sole proprietor health care provider with primary practice located at 125 Ledford Mill Rd , Tullahoma TN 37388-2278. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Locke, C. Michael can be contacted via phone (931) 455-2105.

Contact Information

Primary practice address
125 Ledford Mill Rd Tullahoma TN 37388-2278
Phone: (931) 455-2105
Fax: (931) 455-2104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 0000031540 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS0000007685 Tennessee

Profile Details

NPI number 1184721995
LBN Legal business name Locke, C. Michael
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Dec 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184721995 NPPES
Tennessee Other 338420 UNITED CONCORDIA
Tennessee Other 4013636 UNITED CONCORDIA
Tennessee MEDICAID 3208948 UNITED CONCORDIA

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