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Contact Information

MISSISSIPPI OROFACIAL PAIN, LLC
108 S MAPLE ST STE C
RIDGELAND, MS39157-2305
 Phone: 601-720-7662
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orofacial Pain

1223X2210X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for MISSISSIPPI OROFACIAL PAIN LLC · (Female)

NPI # 1639813454
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2022
Last updated 12/28/2023 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Other 1639813454 LOCATION NPI
  • MS Other 1285640383 PROVIDER NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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