| Harborview Oral And Facial Surgery Center | |
|
1301 25th Avenue Suite 3 Gulfport MS 39501 | |
| (228) 867-0121 | |
| (228) 867-0252 |
| Full Name | Harborview Oral And Facial Surgery Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1301 25th Avenue, Gulfport, Mississippi |
| Authorized Official Name and Position | Jason O Rosetti (OWNER/PROVIDER) |
| Authorized Official Contact | 2288670121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harborview Oral And Facial Surgery Center 1301 25th Avenue Suite 3 Gulfport MS 39501 Ph: (228) 867-0121 | Harborview Oral And Facial Surgery Center 1301 25th Avenue Suite 3 Gulfport MS 39501 Ph: (228) 867-0121 |
| NPI Number | 1063781086 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063781086 | NPI | - | NPPES |
| 03520709 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 335805 (Mississippi) | Primary |
Gulfcoast Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 15th Street, Gulfport, MS 39501 Phone: 228-863-6413 | |
Toothdocs, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Courthouse Rd, Suite B, Gulfport, MS 39507 Phone: 228-760-4722 Fax: 228-604-2525 | |
Beach View Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1924 E Pass Rd, Gulfport, MS 39507 Phone: 228-896-1840 Fax: 228-604-4449 | |
Charles G. Wood D.m.d.p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 Broad Ave # Std-1, Gulfport, MS 39501 Phone: 228-863-5171 Fax: 228-863-5233 | |
Coastkids Pediatric Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 E Pass Rd, Gulfport, MS 39507 Phone: 228-896-5197 | |
Hillcrest Dental Group, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Courthouse Rd Ste B, Gulfport, MS 39507 Phone: 228-604-2445 Fax: 228-604-2525 |