# LIBERTY ORAL AND FACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548834963
- **Authorized official:** MICHAEL J MCNAUGHT DDS (OWNER)
- **Authorized official phone:** (931) 999-7100

## Contact information

- **Practice address:** 535 BELL TRACE CT, CLARKSVILLE, TN 37040
- **Practice address phone:** (931) 999-7100
- **Practice address fax:** (931) 999-7101
- **Mailing address:** 535 BELL TRACE CT, CLARKSVILLE, TN 37040
- **Mailing address phone:** (931) 999-7100
- **Mailing address fax:** (931) 999-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2021
- **Last updated:** 05/19/2021