Plateau Oral Surgery, PC
NPI 1730407560 · Oral and Maxillofacial Surgery Clinic/Center · Cookeville, TN
Plateau Oral Surgery, PC is a Oral and Maxillofacial Surgery Clinic/Center organization in Cookeville, TN (NPI 1730407560).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2010-05-04
- Last updated
- 2018-06-20
Frequently asked questions
- What is Plateau Oral Surgery, PC's NPI number?
- Plateau Oral Surgery, PC's National Provider Identifier (NPI) is 1730407560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Plateau Oral Surgery, PC?
- Plateau Oral Surgery, PC is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Plateau Oral Surgery, PC located?
- Plateau Oral Surgery, PC's practice location on file with NPPES is 920 S Willow Ave, Cookeville, TN 38501-4150.
- What is Plateau Oral Surgery, PC's phone number?
- The practice phone number listed in the NPPES registry for Plateau Oral Surgery, PC is (931) 525-6059.
- Who is the authorized official for Plateau Oral Surgery, PC?
- The authorized official listed on Plateau Oral Surgery, PC's NPPES record is Nancy Kelly, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Plateau Oral Surgery, PC's NPI active?
- Yes — Plateau Oral Surgery, PC's NPI (1730407560) is active in the NPPES registry as of the last update on 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.