1. Home
  2. Directory
  3. Tennessee
  4. Cookeville
  5. Dentist
  6. NPI Profile

PLATEAU ORAL AND FACIAL SURGERY
NPI 1396121000
Dentist - Oral and Maxillofacial Surgery in Cookeville, TN

Active since August 04, 2015
920 S WILLOW AVE, COOKEVILLE, TN 38501(931) 525-6059(931) 525-6099 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Plateau Oral And Facial Surgery NPPES

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

PLATEAU ORAL AND FACIAL SURGERY (NPI 1396121000) is a healthcare organization registered as an oral and maxillofacial surgery in Cookeville, Tennessee and active in the NPI registry since August 2015. The organization lists Cortland Caldemeyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1396121000
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePLATEAU ORAL AND FACIAL SURGERY
Location Address920 S WILLOW AVECookeville, TN 38501-4150
Mailing Address920 S Willow AveCookeville, TN 38501-4150 · (931) 525-6059 · Fax (931) 525-6099
Phone(931) 525-6059
Fax(931) 525-6099
Organization SubpartNo
Authorized OfficialCortland CaldemeyerOwner · (931) 525-6059
Enumeration DateAugust 4, 2015
✔ NPI 1396121000 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 · 9568
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.
920 S WILLOW AVE, Cookeville, TN 38501
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ004187TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company Inc- TN.Insurance ›

Other Providers at the Same Location NPPES

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

PLATEAU ORAL SURGERY, PC
Clinic/Center (Oral and Maxillofacial Surgery)
920 S WILLOW AVE
COOKEVILLE, TN 38501
Putnam County (931) 525-6059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plateau Oral And Facial Surgery's NPI number?

The NPI number for Plateau Oral And Facial Surgery is 1396121000. It was assigned to this organization in the NPPES registry on August 4, 2015.

Where is Plateau Oral And Facial Surgery located?

Plateau Oral And Facial Surgery is located at 920 S Willow Ave, Cookeville, TN 38501. The listed phone number is (931) 525-6059.

What is Plateau Oral And Facial Surgery's specialty?

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

What insurance does Plateau Oral And Facial Surgery accept?

Health plans from DentaQuest Insurance Company Inc- TN list Plateau Oral And Facial Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Plateau Oral And Facial Surgery was last updated on August 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.