OrganizationActive
Clarksville Oral and Facial Surgery, PLLC
NPI 1073748042 · Oral and Maxillofacial Surgery (Dentist) · Clarksville, TN
Provider details
- NPI number
- 1073748042
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jason Lilly, Owner(931) 552-7575
- License
- 4003 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1718 Memorial Dr
Clarksville, TN 37043-4542
Phone: (931) 552-4935
Fax: (931) 552-0959
Street-level locationGet directions
Mailing address
1718 Memorial Dr
Clarksville, TN 37043-4542
Other names (DBA / former)
- Former legal business name
- Clarksville Oral and Maxillofacial Surgery
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2016-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.