| Gulf Coast Oral & Facial Surgery, P.a. | |
|
1760 Medical Park Dr Suite A Biloxi MS 39532-2131 | |
| (228) 388-5925 | |
| (228) 388-8153 |
| Full Name | Gulf Coast Oral & Facial Surgery, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1760 Medical Park Dr, Biloxi, Mississippi |
| Authorized Official Name and Position | Robert T Watts, Jr (PHYSICAIN/OWNER) |
| Authorized Official Contact | 2283885925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Oral & Facial Surgery, P.a. 1760 Medical Park Dr Suite A Biloxi MS 39532-2131 Ph: (228) 388-5925 | Gulf Coast Oral & Facial Surgery, P.a. 1760 Medical Park Dr Suite A Biloxi MS 39532-2131 Ph: (228) 388-5925 |
| NPI Number | 1386691343 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386691343 | NPI | - | NPPES |
| 852815 | Other | MS | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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