North Mississippi Oral & Maxillofacial Surgery Associates, Pa in Tupelo - Oral And Maxillofacial Pathology

North Mississippi Oral & Maxillofacial Surgery Associates, Pa - NPI 1831104793

North Mississippi Oral & Maxillofacial Surgery Associates, Pa is a Oral And Maxillofacial Pathology in Tupelo, Mississippi. North Mississippi Oral & Maxillofacial Surgery Associates, Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for North Mississippi Oral & Maxillofacial Surgery Associates, Pa is 1831104793. The last update date is 2020-08-22.

North Mississippi Oral & Maxillofacial Surgery Associates, Pa's current location address is 1043 S Madison St, Tupelo, Mississippi. You can contact this provider via phone number 6628428200 and fax number 6628443157. The mailing address for North Mississippi Oral & Maxillofacial Surgery Associates, Pa is 1043 S Madison St, Tupelo, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization North Mississippi Oral & Maxillofacial Surgery Associates, Pa
Address 1043 S Madison St, Tupelo, Mississippi
Phone Number 6628428200
Fax Number 6628443157
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Costello Lynn Karen
Telephone Number 6628428200

NPI Number Detail

NPI Number 1831104793
Provider Enumeration Date 2006-07-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1043 S Madison St
City Tupelo
State Mississippi (MS)
Post Code 388016309
Phone Number 6628428200
Fax Number 6628443157

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No MS162174
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5021312 MS --
660076 MS --
63290 MS --
660372 MS --

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FAQs about North Mississippi Oral & Maxillofacial Surgery Associates, Pa

What is the unique 10-digit identifier code assigned to North Mississippi Oral & Maxillofacial Surgery Associates, Pa by the Centers for Medicare & Medicaid Services?

The North Mississippi Oral & Maxillofacial Surgery Associates, Pa has been issued the NPI (National Provider Identifier) 1831104793 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where North Mississippi Oral & Maxillofacial Surgery Associates, Pa is physically located?

The North Mississippi Oral & Maxillofacial Surgery Associates, Pa is situated at the following address: 1043 S Madison St, Tupelo, MS 388016309.

What is North Mississippi Oral & Maxillofacial Surgery Associates, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for North Mississippi Oral & Maxillofacial Surgery Associates, Pa is Oral And Maxillofacial Pathology, and the taxonomy code that classifies this field of practice is 1223P0106X.

When was the North Mississippi Oral & Maxillofacial Surgery Associates, Pa's 1831104793 issued?

The North Mississippi Oral & Maxillofacial Surgery Associates, Pa's 1831104793 was issued on 2006-07-29.

When was the information pertaining to North Mississippi Oral & Maxillofacial Surgery Associates, Pa most recently updated or revised?

The details related to North Mississippi Oral & Maxillofacial Surgery Associates, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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