Dr. JASON SCOTT LILLY DMD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1912226895- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 2285 RUDOLPHTOWN RD, CLARKSVILLE, TN, 37043
- Phone
- (931) 552-3292
- Fax
- (931) 552-3243
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: TN #9847
Dentist, Oral and Maxillofacial Surgery
License: KY #11096
Student in an Organized Health Care Education/Training Program
Dentist, Oral and Maxillofacial Surgery
Primary License: TN #TN9847