CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC
NPI 1073748042
Dentist - Oral and Maxillofacial Surgery in Clarksville, TN

Q: What is Clarksville Oral And Facial Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since May 20, 2009

1718 MEMORIAL DR, CLARKSVILLE, TN 37043(931) 552-4935(931) 552-0959 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clarksville Oral And Facial Surgery, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC (NPI 1073748042), doing business as Clarksville Oral And Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Clarksville, Tennessee and active in the NPI registry since May 2009. The organization lists Jason Scott Lilly, Owner, as its authorized official.

NPPES Registry Identity

NPI1073748042

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCLARKSVILLE ORAL AND FACIAL SURGERY, PLLC

Location Address1718 MEMORIAL DRClarksville, TN 37043-4542

Mailing Address1718 Memorial DrClarksville, TN 37043-4542 · (931) 552-4935 · Fax (931) 552-0959

Phone(931) 552-4935

Fax(931) 552-0959

Organization SubpartNo

Authorized OfficialJason Scott LillyOwner · (931) 552-7575

Enumeration DateMay 20, 2009

Last NPPES UpdateJune 15, 2016

✔ NPI 1073748042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TN · 4003

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1718 MEMORIAL DR, Clarksville, TN 37043

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Other Names 1

Former Legal Business NameClarksville Oral And Maxillofacial Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRESTON T HASTON DC

Chiropractor