National Provider Identifier Database

MISSISSIPPI OROFACIAL PAIN LLC
Orofacial Pain

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.


Contact Information

MISSISSIPPI OROFACIAL PAIN, LLC
108 S MAPLE ST STE C
RIDGELAND, MS39157-2305
Phone: 601-720-7662
Fax:
Website:
Specialty Taxonomy Code
* Orofacial Pain 1223X2210X
Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for MISSISSIPPI OROFACIAL PAIN, LLC

NPI Number 1639813454
Legal business name
LBN
MISSISSIPPI OROFACIAL PAIN, LLC
Authorized official PAUL RILEY - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 04/27/2022
Last updated 12/28/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Other: 1639813454 LOCATION NPI
  • MS Other: 1285640383 PROVIDER NPI

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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