# CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CUMBERLAND SURGICAL ARTS AND ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497263941
- **Legal business name:** CUMBERLAND SURGICAL ARTS AND ASSOCIATES
- **Authorized official:** DR. GEORGE S LEE M.D,D.D.S (DOCTOR)
- **Authorized official phone:** (931) 552-3292

## Contact information

- **Practice address:** 1275 PARKWAY PLACE, CLARKSVILLE, TN 37042
- **Practice address phone:** (931) 552-3292
- **Practice address fax:** (931) 552-3243
- **Mailing address:** 2285 RUDOLPHTOWN ROAD, SUITE 200, CLARKSVILLE, TN 37043
- **Mailing address phone:** (931) 552-3292
- **Mailing address fax:** (931) 552-3243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 254190 | MS | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN011393 | GA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS0000005220 | TN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS0000008427 | TN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS0000008953 | TN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS0000009847 | TN | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 50700 | KY | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MD0000040738 | TN | Yes |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | MD0000040738 | TN | — |

## Other

- **Enumeration date:** 01/18/2018
- **Last updated:** 11/07/2023