Organization · Type 2 NPI

Maxillofacial Surgery Center of Central Mississippi

Specialist · Jackson, MS

NPI number 1609960749 Active

Practice location

266 Katherine Dr
Jackson, MS 39232-8801

Call (601) 420-3223 Map

Fax (601) 420-3054

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X3119.00 (MS)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2820.94 (MS)
Specialist 174400000X05.339.00 (MS)
Specialist 174400000X05.340.00 (MS)
Specialist 174400000X16843 (MS)
Specialist Primary 174400000X16896 (MS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 other providers at this address

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About NPI 1609960749

Maxillofacial Surgery Center of Central Mississippi's National Provider Identifier is 1609960749, issued on Oct 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, MS. The record was last updated on Sep 11, 2025.