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ORAL AND FACIAL SURGERY CENTER NPI 1043815855


NPI Information

NPI: 1043815855
Provider Name: ORAL AND FACIAL SURGERY CENTER
Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

Address:
811 S 28TH AVE
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-2611
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ORAL AND FACIAL SURGERY CENTER is an oral and maxillofacial pathology dentist in Hattiesburg, MS. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. ORAL AND FACIAL SURGERY CENTER NPI is 1043815855. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

811 S 28TH AVE
HATTIESBURG, MS
ZIP 39402-602
Phone: (601) 261-2611
Fax: (601) 261-2711

The provider's authorized official is Whitney A Powell .
The authorized official title is Office Manager and has the following contact phone number (601) 261-2611.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 12/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0106XDentistOral and Maxillofacial PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103972317MEDICAIDMISSISSIPPI
201951327MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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