| C Michael Locke, DMD, MD | |
|
125 Ledford Mill Rd, Tullahoma, TN 37388-2278 | |
| (931) 455-2105 | |
| (931) 455-2104 |
| Full Name | C Michael Locke |
|---|---|
| Gender | Male |
| Speciality | Maxillofacial Surgery |
| Experience | 30 Years |
| Location | 125 Ledford Mill Rd, Tullahoma, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184721995 | NPI | - | NPPES |
| 4013636 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3208948 | Medicaid | TN | |
| 338420 | Other | TN | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS0000007685 (Tennessee) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 0000031540 (Tennessee) | Secondary |
| Entity Name | C Michael Locke DMD MD PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811169071 PECOS PAC ID: 3678712965 Enrollment ID: O20130618000201 |
| Mailing Address | Practice Location Address |
|---|---|
| C Michael Locke, DMD, MD 125 Ledford Mill Rd, Tullahoma, TN 37388-2278 Ph: (931) 455-2105 | C Michael Locke, DMD, MD 125 Ledford Mill Rd, Tullahoma, TN 37388-2278 Ph: (931) 455-2105 |
Dr. Gracia Maria Amaya Garcia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1513 N Jackson St, Tullahoma, TN 37388 Phone: 615-498-2260 |
Dr. Michael Mckinnie, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2111 N Jackson St Ste 109, Tullahoma, TN 37388 Phone: 931-455-0950 |
Dr. J Randall Smith, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 S Jackson St, Tullahoma, TN 37388 Phone: 931-455-0146 Fax: 931-393-3863 |
Dr. Janette Gayle Gardner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 E Lincoln St, Tullahoma, TN 37388 Phone: 931-455-2595 Fax: 931-455-4728 |
Harold Michael Long, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 E Lincoln St, Tullahoma, TN 37388 Phone: 931-455-2595 Fax: 931-455-4728 |
Edward Lee Beavers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 603 Nw Atlantic St, Tullahoma, TN 37388 Phone: 931-455-3501 |
Dr. Steve Randall Lynn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 Nw Atlantic St, Tullahoma, TN 37388 Phone: 931-455-8003 Fax: 931-455-1797 |