Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

C. Michael Locke, DMD, MD, PLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1811169071

C. Michael Locke, DMD, MD, PLC is an Oral and Maxillofacial Surgery (Dentist) in Tullahoma, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2008

Practice location Address checks out

105 Ledford Mill Rd Ste A
Tullahoma, TN 37388-8262
Phone: (931) 455-2105
Fax: (931) 455-2104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 Ledford Mill Rd, Tullahoma, TN 37388-2278 — (931) 455-2105

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DS0000007685 (TN)

Record details

NPI number1811169071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C. Locke — Owner · (931) 455-2105
NPI enumeratedMarch 27, 2008
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022
Mailing address125 Ledford Mill Rd, Tullahoma, TN 37388-2278

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