Bennett Van York in Hattiesburg - Oral And Maxillofacial Surgery
Bennett Van York - NPI 1417045386
Bennett Van York is a Oral And Maxillofacial Surgery in Hattiesburg, Mississippi. Bennett Van York practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bennett Van York is 1417045386. The last update date is 2023-10-18.
Bennett Van York's current location address is 1421 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012647611 and fax number 6012680693. The mailing address for Bennett Van York is 1421 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bennett Van York |
|---|---|
| Address | 1421 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012647611 |
| Fax Number | 6012680693 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417045386 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2023-10-18 |
Provider Mailing Address Detail
| Address | 1421 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394023108 |
| Phone Number | 6012647611 |
| Fax Number | 6012680693 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | OS1679 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 660133 | MS | -- | |
| 1182-65 | MS | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bennett Van York?
The Bennett Van York has been issued the NPI (National Provider Identifier) 1417045386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Bennett Van York?
The Bennett Van York is situated at 1421 S 28Th Ave, in the city of Hattiesburg, state of MS, with the zip code 394023108.
What is the Bennett Van York's specialty and taxonomy code?
The Bennett Van York's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417045386 to Bennett Van York?
The Bennett Van York received its 1417045386 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the Bennett Van York's information last updated?
The Bennett Van York's information was last updated on 2023-10-18.