Lilly, Jason Scott
Lilly, Jason Scott is an individual health care provider with primary practice located at 2285 Rudolphtown Rd , Clarksville TN 37043. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Lilly, Jason Scott can be contacted via phone (931) 552-3292.Contact Information
Primary practice address
2285 Rudolphtown Rd
Clarksville TN 37043
Phone: (931) 552-3292
Fax: (931) 552-3243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9847 | Tennessee |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 11096 | Kentucky |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | TN9847 | Tennessee |
Profile Details
| NPI number | 1912226895 |
|---|---|
| LBN Legal business name | Lilly, Jason Scott |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2010 |
| Last updated | Jun 24th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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