institution
Maxillofacial Surgery Center Of Central Mississippi
Specialist in Jackson, Mississippi
NPI 1609960749

Maxillofacial Surgery Center Of Central Mississippi is a Specialist based in Jackson, MS. Maxillofacial Surgery Center Of Central Mississippi practices in Jackson, MS. The NPI Number for Maxillofacial Surgery Center Of Central Mississippi is 1609960749 and holds a License No. 3119.00 (Mississippi).

The current practice location address for Maxillofacial Surgery Center Of Central Mississippi is 266 Katherine Dr, Jackson, MS and can be reached out via phone at 601-420-3223 and via fax at 601-420-3054.

Location: 266 Katherine Dr, Jackson, MS, 39232-8801
institution
Provider Profile Details
NPI Number
1609960749
Provider Name
Maxillofacial Surgery Center Of Central Mississippi
Credential
Provider Entity Type
Organization
Address
266 Katherine Dr, Jackson, MS, 39232-8801
Phone Number
601-420-3223
Fax Number
601-420-3054
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00123548 05 MS
00123549 05 MS
institution
Provider Business Practice Location Address Details
Address
266 Katherine Dr
City
State
Zip
39232-8801
Phone Number
601-420-3223
Fax Number
601-420-3054
person
Provider Business Mailing Address Details
Address
266 Katherine Dr
City
State
Zip
39232-8801
Phone Number
601-420-3223
Fax Number
601-420-3054
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2820.94 (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.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
3119.00 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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