CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC is an oral and maxillofacial surgery dentist in Clarksville, TN. The provider is an oral and maxillofacial surgery dentist specialized in 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. CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC NPI is 1073748042. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Clarksville Oral And Maxillofacial Surgery.
The provider's business location address is:
1718 MEMORIAL DR
CLARKSVILLE, TN
ZIP 37043-542
Phone: (931) 552-4935
Fax: (931) 552-0959
The provider's authorized official is Jason Scott Lilly .
The authorized official title is Owner and has the following contact phone number (931) 552-7575.
The enumeration date for this NPI number is 5/20/2009 and was last updated on 6/15/2016.