Organization · Type 2 NPI

Central Mississippi Oral & Maxiollofacial

Oral and Maxillofacial Surgery (Dentist) · Jackson, MS

NPI number 1821391202 Active

Practice location

971 Lakeland Dr Ste 952
Jackson, MS 39216-4609

Fax (601) 981-3112

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1521 (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 1821391202

Central Mississippi Oral & Maxiollofacial's National Provider Identifier is 1821391202, issued on Dec 7, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jackson, MS. The record was last updated on Dec 7, 2010.