C. Michael Locke, DMD, MD
C. Michael Locke, DMD, MD is a Maxillofacial Surgery in Tullahoma, Tennessee. Graduated from Vanderbilt University School of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 30
- Trained at
- Vanderbilt University School of Medicine
- Licensed in
- TN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
125 Ledford Mill RdTullahoma, TN 37388-2278
Phone: (931) 455-2105
Fax: (931) 455-2104
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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 DS0000007685 (TN) |
|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X · Licence 0000031540 (TN) |
Record details
| NPI number | 1184721995 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD , MD |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | December 2, 2022 |
| Certification date | December 2, 2022 |
| Mailing address | 125 Ledford Mill Rd, Tullahoma, TN 37388-2278 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Medical school | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |