EVAN REED SOBIESK NPI 1801416219

NPI Information

  • NPI: 1801416219
  • Provider Name: EVAN REED SOBIESK
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1421 S 28TH AVE
    HATTIESBURG, MS
    ZIP 39402
  • Phone: (601) 264-7611

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NPI Details

Evan Reed Sobiesk is an oral and maxillofacial surgery dentist in Hattiesburg, MS with 1 years of experience. 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. Evan Reed Sobiesk NPI is 1801416219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1421 S 28TH AVE
HATTIESBURG, MS
ZIP 39402-108
Phone: (601) 264-7611

The NPI 1801416219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/26/2020 and was last updated on 6/4/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery4160-20MISSISSIPPIYes
2122300000XDentist4160-20MISSISSIPPINo

What is NPI?

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This page was last updated on: 3/30/2025

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