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

Plateau Oral and Facial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1396121000

Plateau Oral and Facial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Cookeville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2015.

Licensed in
TN
In the registry since
2015

Practice location Address checks out

920 S Willow Ave
Cookeville, TN 38501-4150
Phone: (931) 525-6059
Fax: (931) 525-6099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 9568 (TN)

Record details

NPI number1396121000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cortland Caldemeyer — Owner · (931) 525-6059
NPI enumeratedAugust 4, 2015
Last updated in NPPESAugust 4, 2015
Mailing address920 S Willow Ave, Cookeville, TN 38501-4150

Other providers in Cookeville