ORAL AND FACIAL SURGERY OF MISSISSIPPI; NPI #1851543250

Contact Information

ORAL AND FACIAL SURGERY OF MISSISSIPPI

266 KATHERINE DR
FLOWOOD, MS 39232-8801

Phone: 601-420-3223
Fax: 601-420-3054
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for ORAL AND FACIAL SURGERY OF MISSISSIPPI

NPI # 1851543250

LBN Legal business name ORAL AND FACIAL SURGERY OF MISSISSIPPI

Authorized official MICHAEL NICHOLS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/16/2008

Last updated 10/16/2008 - About 18 years ago

Identifiers

License #

OS34000

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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