Organization · Type 2 NPI
South Mississippi Oral Surgery & Implant Center PLLC
Oral and Maxillofacial Surgery (Dentist) · Gulfport, MS
Practice location
12231 Bernard Pkwy
Gulfport, MS 39503-5086
Fax (601) 268-0693
Mailing address
1421 S 28th Ave
Hattiesburg, MS 39402-3108
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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Gulfport
About NPI 1780466300
South Mississippi Oral Surgery & Implant Center PLLC's National Provider Identifier is 1780466300, issued on Oct 18, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gulfport, MS. The record was last updated on Oct 18, 2023.