C. Michael Locke
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
105 Ledford Mill Rd Ste A
Tullahoma
, Tennessee 37388-2278
C. Michael Locke
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
105 Ledford Mill Rd Ste A
Tullahoma
, Tennessee 37388-2278
(931) 455-2104
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- C. Michael Locke
- 105 Ledford Mill Rd Ste A
- Tullahoma, TN
- Zip : 37388-2278
- Fax : (931) 455-2104
- Phone : (931) 455-2105
Second Address
- C. Michael Locke
- 105 Ledford Mill Rd Ste A
- Tullahoma, TN
- Zip : 37388-2278
- Fax : (931) 455-2104
- Phone : (931) 455-2105
Reviews
FAQs
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What type of doctor is C. Michael Locke
In what state does C. Michael Locke practice in?
Where is C. Michael Locke ’s practice located?
What is C. Michael Locke ’s gender?
Is C. Michael Locke a sole practitioner?
Is C. Michael Locke accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS0000007685 | TN |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 0000031540 | TN |
National Provider Identifier
| NPI | 1184721995 |
|---|---|
| Provider Name | C. Michael Locke |
| First Address | Tullahoma, TN 37388-2278 |
| Second Address | Tullahoma, TN 37388-2278 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 22/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3208948 | (05) | TN |
| 338420 | UNITED CONCORDIA (01) | TN |
| 4013636 | BLUE CROSS BLUE SHIELD (01) | TN |
| 79318 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.