OrganizationActive
Plateau Oral Surgery, PC
NPI 1730407560 · Oral and Maxillofacial Surgery Clinic/Center · Cookeville, TN
Provider details
- NPI number
- 1730407560
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nancy Kelly, Insurance Coordinator(931) 525-6059
- License
- D57545 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
920 S Willow Ave
Cookeville, TN 38501-4150
Phone: (931) 525-6059
Fax: (931) 525-6079
Approximate (ZIP-level) locationGet directions
Mailing address
920 South Willow Avenue
Cookeville, TN 38501-4150
Registry dates
- Enumerated
- 2010-05-04
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.