| The Oral & Maxillofacial Surgery Center, P.a. | |
|
325 S 13th Ave Laurel MS 39440-4342 | |
| (601) 425-2356 | |
| (601) 426-9038 |
| Full Name | The Oral & Maxillofacial Surgery Center, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 325 S 13th Ave, Laurel, Mississippi |
| Authorized Official Name and Position | Heather Hood (PRACTICE MANAGER) |
| Authorized Official Contact | 6014252356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Oral & Maxillofacial Surgery Center, P.a. 325 S 13th Ave Laurel MS 39440-4342 Ph: (601) 425-2356 | The Oral & Maxillofacial Surgery Center, P.a. 325 S 13th Ave Laurel MS 39440-4342 Ph: (601) 425-2356 |
| NPI Number | 1912123159 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912123159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OS-082-84 (Mississippi) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OS-287-95 (Mississippi) | Primary |
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