Individual provider · Type 1 NPI

John Stephen Cockerham, DDS

Oral and Maxillofacial Surgery (Dentist) · Hattiesburg, MS

NPI number 1689762528 Active

Practice location

1421 S 28th Ave
Hattiesburg, MS 39402-3108

Call (601) 264-7611 Map

Fax (601) 268-0693

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XOS 20-77 (MS)

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.

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About NPI 1689762528

John Stephen Cockerham, DDS's National Provider Identifier is 1689762528, issued on Oct 10, 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 8, 2007.