Active NPI
Cumberland Surgical Arts, PLLC
- Oral & Maxillofacial Surgery (D.M.D.)
- Clarksville, TN
National Provider Identifier
1730133695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Legal business name
- CUMBERLAND SURGICAL ARTS, PLLC
- Practice address
- 2285 Rudolphtown Rd
Suite 200
Clarksville, TN 37043 - Phone
- (931) 552-3292
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George S Lee, MD, DDS
- Title
- Ceo
- Phone
- (615) 293-8651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Primary |
Addresses
Primary practice location
2285 Rudolphtown Rd
Suite 200
Clarksville, TN 37043
Mailing address
PO Box 3097
Clarksville, TN 37043-3097
Phone (931) 552-3292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3733886 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1730133695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3097",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370433097",
"telephone_number": "931-552-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 RUDOLPHTOWN RD",
"address_2": "SUITE 200",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-552-3292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND SURGICAL ARTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-293-8651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, DDS"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3733886",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
- Ebony Cue
- Cumberland Pathology Associates PLLC
- Cumberland Spine & Joint Rehabilitation PLC
- Cumberland Surgical Arts and Associates, PLLC
- Cumberland Surgical Arts and Associates, PLLC
- Cumberland Surgical, PLLC
- Cumberland View Clinic LLC
- Ashley Michelle Cummings, RN
- Amanda Cummins, DO
- Abagail Marie Cunningham, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.