OrganizationActive
C. Michael Locke, D.m.d.,m.d.,plc
NPI 1811169071 · Oral and Maxillofacial Surgery (Dentist) · Tullahoma, TN
Provider details
- NPI number
- 1811169071
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- C. Locke, Owner(931) 455-2105
- License
- DS0000007685 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
105 Ledford Mill Rd Ste a
Tullahoma, TN 37388-8262
Phone: (931) 455-2105
Fax: (931) 455-2104
Street-level locationGet directions
Mailing address
125 Ledford Mill Rd
Tullahoma, TN 37388-2278
Additional practice locations (1)
- 125 Ledford Mill RdTullahoma, TN 37388-2278Phone: (931) 455-2105Fax: (931) 455-2104
Registry dates
- Enumerated
- 2008-03-27
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.