Organization · Type 2 NPI

Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.a.

Oral and Maxillofacial Surgery (Dentist) · Hattiesburg, MS

NPI number 1578596060 Active

Practice location

1421 S 28th Ave
Hattiesburg, MS 39402-3108

Fax (601) 268-0693

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Hattiesburg

See all in Hattiesburg →

NPI record

NPI: 1578596060
Entity type: Organization (Type 2)
Issued: Jul 8, 2006
Last updated: Jul 22, 2020
Status: Active

Other names

<unavail>
Hattiesburg Oral Surgery · doing business as
Hattiesburg Oral Surgery · doing business as
Drs. York, Bishop & West · other name
Drs. York, Cockerham & Hughes · other name

Authorized official

Mrs. Sandra P Odom
Administrator
(601) 261-9317

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1578596060

Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.a.'s National Provider Identifier is 1578596060, issued on Jul 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 22, 2020.