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

Clarksville Oral and Facial Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1073748042

Clarksville Oral and Facial Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Clarksville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1718 Memorial Dr
Clarksville, TN 37043-4542
Phone: (931) 552-4935
Fax: (931) 552-0959
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4003 (TN)

Record details

NPI number1073748042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Lilly — Owner · (931) 552-7575
Other names Clarksville Oral And Maxillofacial Surgery
NPI enumeratedMay 20, 2009
Last updated in NPPESJune 15, 2016
Mailing address1718 Memorial Dr, Clarksville, TN 37043-4542

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