ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A. is an oral and maxillofacial surgery dentist in Hattiesburg, MS. The provider is an oral and maxillofacial surgery dentist specialized in 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. ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A. NPI is 1578596060. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hattiesburg Oral Surgery.
The provider's business location address is:
1421 S 28TH AVE
HATTIESBURG, MS
ZIP 39402-108
Phone: (601) 264-7611
Fax: (601) 268-0693
The provider's authorized official is Sandra P Odom .
The authorized official title is Administrator and has the following contact phone number (601) 261-9317.
The enumeration date for this NPI number is 7/8/2006 and was last updated on 7/22/2020.