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
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 1521 (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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Jackson
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.