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Mississippi Orofacial Pain, Llc
Dental Clinic/Center in Ridgeland, Mississippi
NPI 1639813454

Mississippi Orofacial Pain, Llc is a Dental Clinic/Center based in Ridgeland, MS and is specialized in Dental. Mississippi Orofacial Pain, Llc practices in Ridgeland, MS. The NPI Number for Mississippi Orofacial Pain, Llc is 1639813454 and holds a License No. (Mississippi).

The current practice location address for Mississippi Orofacial Pain, Llc is 108 S Maple St Ste C, Ridgeland, MS and can be reached out via phone at 601-720-7662.

Location: 108 S Maple St Ste C, Ridgeland, MS, 39157-2357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639813454
Provider Name
Mississippi Orofacial Pain, Llc
Credential
Provider Entity Type
Organization
Address
108 S Maple St Ste C, Ridgeland, MS, 39157-2357
Phone Number
601-720-7662
Fax Number
Provider Enumeration Date
04/27/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639813454 01 MS LOCATION NPI
1285640383 01 MS PROVIDER NPI
institution
Provider Business Practice Location Address Details
Address
108 S Maple St Ste C
City
Ridgeland
State
Mississippi
Zip
39157-2305
Phone Number
601-720-7662
Fax Number
person
Provider Business Mailing Address Details
Address
108 S Maple St Ste C
City
Ridgeland
State
Mississippi
Zip
39157-2305
Phone Number
601-720-7662
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
()
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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