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PLATEAU ORAL SURGERY, PC
NPI 1730407560
Clinic/Center - Oral and Maxillofacial Surgery in Cookeville, TN

Active since May 04, 2010
920 S WILLOW AVE, COOKEVILLE, TN 38501(931) 525-6059(931) 525-6079 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Plateau Oral Surgery, Pc NPPES

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

PLATEAU ORAL SURGERY, PC (NPI 1730407560) is a healthcare organization registered as an oral and maxillofacial surgery in Cookeville, Tennessee and active in the NPI registry since May 2010. The organization lists Nancy J Kelly, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1730407560
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NamePLATEAU ORAL SURGERY, PC
Location Address920 S WILLOW AVECookeville, TN 38501-4150
Mailing Address920 South Willow AvenueCookeville, TN 38501-4150 · (931) 525-6059 · Fax (931) 525-6079
Phone(931) 525-6059
Fax(931) 525-6079
Organization SubpartNo
Authorized OfficialNancy J KellyInsurance Coordinator · (931) 525-6059
Enumeration DateMay 4, 2010
Last NPPES UpdateJune 20, 2018
✔ NPI 1730407560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in TN · D57545
Definition
An oral and maxillofacial surgery clinic or center 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
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Other Identifiers 1

Medicaid3226373TN

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 AND FACIAL SURGERY
Dentist (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 Surgery, PC's NPI number?

The NPI number for Plateau Oral Surgery, PC is 1730407560. It was assigned to this organization in the NPPES registry on May 4, 2010.

Where is Plateau Oral Surgery, PC located?

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

What is Plateau Oral Surgery, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Plateau Oral Surgery, PC was last updated on June 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.