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Dr. John Stephen Cockerham, DDS
Oral and Maxillofacial Surgery (Dentist) in Hattiesburg, Mississippi
NPI 1689762528

John Stephen Cockerham is a Oral and Maxillofacial Surgery (Dentist) based in Hattiesburg, MS and is specialized in Oral and Maxillofacial Surgery. John Stephen Cockerham practices in Hattiesburg, MS and has the professional credentials of DDS. The NPI Number for John Stephen Cockerham is 1689762528 and holds a License No. OS 20-77 (Mississippi).

The current practice location address for John Stephen Cockerham is 1421 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-264-7611 and via fax at 601-268-0693.

Location: 1421 S 28Th Ave, Hattiesburg, MS, 39402-3108
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Provider Profile Details
NPI Number
1689762528
Provider Name
John Stephen Cockerham
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1421 S 28Th Ave, Hattiesburg, MS, 39402-3108
Phone Number
601-264-7611
Fax Number
601-268-0693
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1602-74 01 MS DENTAL LICENSE
0660132 05 MS
institution
Provider Business Practice Location Address Details
Address
1421 S 28Th Ave
City
State
Zip
39402-3108
Phone Number
601-264-7611
Fax Number
601-268-0693
person
Provider Business Mailing Address Details
Address
1421 S 28Th Ave
City
State
Zip
39402-3108
Phone Number
601-264-7611
Fax Number
601-268-0693
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
OS 20-77 (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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