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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1912226895

Dr. Jason Scott Lilly, DMD is an Oral and Maxillofacial Surgery (Dentist) in Clarksville, Tennessee. Works from 5 locations. Licensed in Kentucky and Tennessee.

Licensed in
KY, TN
In the registry since
2010
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2285 Rudolphtown Rd
Clarksville, TN 37043
Phone: (931) 552-3292
Fax: (931) 552-3243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 6225 W Highway 146, Crestwood, KY 40014-7595 — (859) 278-9376
  • 4515 Churchman Ave, Louisville, KY 40215-1172 — (859) 278-9376
  • 1275 Parkway Pl, Clarksville, TN 37042-8402 — (931) 552-3292
  • 2524 Highway 49 E Ste C, Pleasant View, TN 37146-7200 — (931) 552-3292

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence TN9847 (TN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 9847 (TN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 11096 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912226895
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 18, 2010
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address2285 Rudolphtown Rd, Clarksville, TN 37043

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