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Southern Oral And Maxillofacial Surgery Center, Inc
Oral and Maxillofacial Surgery (Dentist) in Vicksburg, Mississippi
NPI 1073784880

Southern Oral And Maxillofacial Surgery Center, Inc is a Oral and Maxillofacial Surgery (Dentist) based in Vicksburg, MS and is specialized in Oral and Maxillofacial Surgery. Southern Oral And Maxillofacial Surgery Center, Inc practices in Vicksburg, MS. The NPI Number for Southern Oral And Maxillofacial Surgery Center, Inc is 1073784880 and holds a License No. 2951-96 (Mississippi).

The current practice location address for Southern Oral And Maxillofacial Surgery Center, Inc is 1205 Mission Park Dr, Vicksburg, MS and can be reached out via phone at 601-661-0034 and via fax at 601-661-0367.

Location: 1205 Mission Park Dr, Vicksburg, MS, 39180-3747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073784880
Provider Name
Southern Oral And Maxillofacial Surgery Center, Inc
Credential
Provider Entity Type
Organization
Address
1205 Mission Park Dr, Vicksburg, MS, 39180-3747
Phone Number
601-661-0034
Fax Number
601-661-0367
Provider Enumeration Date
03/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1205 Mission Park Dr
City
Vicksburg
State
Mississippi
Zip
39180-3747
Phone Number
601-661-0034
Fax Number
601-661-0367
person
Provider Business Mailing Address Details
Address
1205 Mission Park Dr
City
Vicksburg
State
Mississippi
Zip
39180-3747
Phone Number
601-661-0034
Fax Number
601-661-0367
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2951-96 (Mississippi)
Definition
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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