Dr Bennett Van York, DDS | |
1421 S 28th Ave, Hattiesburg, MS 39402-3108 | |
(601) 264-7611 | |
(601) 268-0693 |
Full Name | Dr Bennett Van York |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 63 Years |
Location | 1421 S 28th Ave, Hattiesburg, Mississippi |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417045386 | NPI | - | NPPES |
0660133 | Medicaid | MS | |
1182-65 | Other | MS | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | OS1679 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oral And Maxillofacial Surgery Clinic Of South Misssissippi, P.a. | 2163501602 | 3 |
Entity Name | Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578596060 PECOS PAC ID: 2163501602 Enrollment ID: O20080508000373 |
Mailing Address | Practice Location Address |
---|---|
Dr Bennett Van York, DDS 1421 S 28th Ave, Hattiesburg, MS 39402-3108 Ph: (601) 264-7611 | Dr Bennett Van York, DDS 1421 S 28th Ave, Hattiesburg, MS 39402-3108 Ph: (601) 264-7611 |
Dr. Mitchell Morris Guess, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 68 King Rd, Hattiesburg, MS 39402 Phone: 601-264-7112 | |
Dr. Jennifer Ingels Hughes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 114 N 40th Ave, Suite G, Hattiesburg, MS 39401 Phone: 601-261-5541 Fax: 601-261-5542 | |
Dr. Griffin Harold West, D.M.D. Dentist Medicare: May Accept Medicare Assignments Practice Location: 1421 S 28th Ave, Hattiesburg, MS 39402 Phone: 601-264-7611 | |
Dr. Meredith Gray Lucas, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6657 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-264-0537 | |
Letasia Poyadou, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5128 Old Highway 11, Suite 11, Hattiesburg, MS 39402 Phone: 601-602-8083 | |
John Davis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7100 Highway 98, Suite 210, Hattiesburg, MS 39402 Phone: 601-255-4546 | |
Matthew Louis Guillot, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 49 Cross Creek Pkwy, Hattiesburg, MS 39402 Phone: 601-264-5800 Fax: 601-450-0064 |