CUMBERLAND SURGICAL ARTS, PLLC (NPI# 1730133695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730133695 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND SURGICAL ARTS, PLLC |
| Practice Address |
2285 Rudolphtown Rd Suite 200 Clarksville TN 37043 |
| Mailing Address |
Po Box 3097 Clarksville TN 37043-3097 |
| Practice Telephone | 9315523292 |
| Mailing Telephone | 9315523292 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | DR. GEORGE S LEE (CEO) |
| Authorized Official Telephone | 6152938651 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3733886 | 05 |
| Street Address |
2285 RUDOLPHTOWN RD SUITE 200 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912226895 | Jason Scott Lilly | Dentist | 2285 Rudolphtown Rd, Clarksville, TN 37043 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601230 | Johnson City Oral and Maxillofacial Surgery, LLC | Oral & Maxillofacial Surgery | 1021 W Oakland Ave Ste 109, Johnson City, TN 37604-2192 | 2020-05-19 |
| 1699312306 | Bundled Payment Services, LLC | Oral & Maxillofacial Surgery | 3319 W End Ave Ste 700, Nashville, TN 37203-6840 | 2019-12-02 |
| 1952954281 | Farragut Oral Surgery and Implant Center, PC | Oral & Maxillofacial Surgery | 1928 Alcoa Hwy Bldg B, Knoxville, TN 37920-1502 | 2019-07-16 |
| 1821586793 | Nicholas John Ledderhof | Oral & Maxillofacial Surgery | 1930 Alcoa Hwy. Medical Building A, Suite 335, Knoxville, TN 37920-1514 | 2018-04-26 |
| 1104202761 | Vanderbilt University Medical Center | Oral & Maxillofacial Surgery | 1301 22nd Ave S, Nashville, TN 37232-5100 | 2015-08-06 |
| 1629398417 | Steven Zambrano | Oral & Maxillofacial Surgery | 7535 Poplar Ave., Germantown, TN 38138 | 2010-06-03 |
| 1538327655 | Oral & Maxillofacial Surgery Assoc PC | Oral & Maxillofacial Surgery | 11213 W Point Dr Ste 501, Knoxville, TN 37934-2838 | 2008-05-27 |
| 1336226448 | J Sidney Boyd | Oral & Maxillofacial Surgery | 610 W Seventh North St, Morristown, TN 37814 | 2006-11-01 |
| 1831173392 | J Benjamin Rivers Dmd PC | Oral & Maxillofacial Surgery | 6906 Kingston Pike, Suite 205, Knoxville, TN 37919-5704 | 2005-11-30 |
| 1033112180 | Steven P Tipps | Oral & Maxillofacial Surgery | 6015 Shallowford Road, Chattanooga, TN 37421-1688 | 2005-05-23 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.