CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC
NPI 1073748042
Dentist - Oral and Maxillofacial Surgery in Clarksville, TN

NPI Status: Active since May 20, 2009

Contact Information

1718 MEMORIAL DR
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 552-4935
Fax: (931) 552-0959

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC

This page provides the complete NPI Profile along with additional information for Clarksville Oral And Facial Surgery, Pllc, a provider established in Clarksville, Tennessee operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1073748042 assigned on May 2009. The practitioner's primary taxonomy code is 1223S0112X with license number 4003 (TN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Clarksville Oral And Maxillofacial Surgery. The authorized official of this NPI record is Jason Scott Lilly Dmd (Owner)

NPI
1073748042
Provider Legal Name
CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC
Other Organization Name
CLARKSVILLE ORAL AND MAXILLOFACIAL SURGERY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1718 MEMORIAL DR CLARKSVILLE, TN 37043
Location Phone
(931) 552-4935
Location Fax
(931) 552-0959
Mailing Address
1718 MEMORIAL DR CLARKSVILLE, TN 37043
Mailing Phone
(931) 552-4935
Mailing Fax
(931) 552-0959
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2009
Last Update Date
06-15-2016
Code Navigator

A dentist like Clarksville Oral And Facial Surgery, Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
4003
License State
TN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON SCOTT LILLY DMD

Authorized Official Title
OWNER
Authorized Official Phone
(931) 552-7575

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073748042
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431441608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 4 + 4 + 1 + 6 + 0 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1073748042 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861415713 TED R MCCURDY
Individual
Dentist (Oral and Maxillofacial Surgery)1718 MEMORIAL DR
CLARKSVILLE, TN 37043
(931) 552-4935
1396759189 ROGER TERRY ELLIS D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)1718 MEMORIAL DR
CLARKSVILLE, TN 37043
(931) 552-4935
1245315621MCCURDY & ELLIS. PLC
Organization
Clinic/Center (Oral and Maxillofacial Surgery)1718 MEMORIAL DR
CLARKSVILLE, TN 37043
(931) 552-4935
1811502941KNOWBULL CHIROPRACTIC
Organization
Chiropractor1718 MEMORIAL DR
CLARKSVILLE, TN 37043
(931) 444-5955
1649658295DR. ANTHONY JOSEPH LINZA JR. D.C., FIAMA
Individual
Chiropractor1718 MEMORIAL DR
CLARKSVILLE, TN 37043
(931) 444-5955
1033972013 PRESTON T HASTON DC
Individual
Chiropractor1718 MEMORIAL DR
CLARKSVILLE, TN 37043
(931) 444-5955

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073748042, enumerated in the NPI registry as an "organization" on May 20, 2009

The provider is located at 1718 Memorial Dr Clarksville, Tn 37043 and the phone number is (931) 552-4935

This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

This NPI record was last updated on May 20, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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