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

Plateau Oral Surgery, PC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1730407560

Plateau Oral Surgery, PC is an Oral and Maxillofacial Surgery Clinic/Center in Cookeville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

920 S Willow Ave
Cookeville, TN 38501-4150
Phone: (931) 525-6059
Fax: (931) 525-6079
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence D57545 (TN)

Record details

NPI number1730407560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Kelly — Insurance Coordinator · (931) 525-6059
NPI enumeratedMay 4, 2010
Last updated in NPPESJune 20, 2018
Mailing address920 South Willow Avenue, Cookeville, TN 38501-4150

Other providers in Cookeville