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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

NPI Number 1639813454
LBN Legal business name MISSISSIPPI OROFACIAL PAIN, LLC
Authorized official PAUL RILEY - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2022
Last updated 12/28/2023 - About 2 years ago
Identifiers
MS Other 1639813454 LOCATION NPI
MS Other 1285640383 PROVIDER NPI
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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