Maxillofacial Surgery Center Of Central Mississippi in Jackson - Oral And Maxillofacial Surgery
Maxillofacial Surgery Center Of Central Mississippi - NPI 1609960749
Maxillofacial Surgery Center Of Central Mississippi is a Oral And Maxillofacial Surgery in Jackson, Mississippi. Maxillofacial Surgery Center Of Central Mississippi practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Maxillofacial Surgery Center Of Central Mississippi is 1609960749. The last update date is 2020-08-22.
Maxillofacial Surgery Center Of Central Mississippi's current location address is 266 Katherine Dr, Jackson, Mississippi. You can contact this provider via phone number 6014203223 and fax number 6014203054. The mailing address for Maxillofacial Surgery Center Of Central Mississippi is 266 Katherine Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maxillofacial Surgery Center Of Central Mississippi |
|---|---|
| Address | 266 Katherine Dr, Jackson, Mississippi |
| Phone Number | 6014203223 |
| Fax Number | 6014203054 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Drummond Joel J |
| Credentials | D.M.D., M. |
| Telephone Number | 6014203223 |
NPI Number Detail
| NPI Number | 1609960749 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 266 Katherine Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392328801 |
| Phone Number | 6014203223 |
| Fax Number | 6014203054 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 3119 |
|
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 |
|---|---|---|---|
| 123548 | MS | -- | |
| 123549 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Maxillofacial Surgery Center Of Central Mississippi by the Centers for Medicare & Medicaid Services?
The Maxillofacial Surgery Center Of Central Mississippi has been issued the NPI (National Provider Identifier) 1609960749, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Maxillofacial Surgery Center Of Central Mississippi?
The Maxillofacial Surgery Center Of Central Mississippi is physically situated at 266 Katherine Dr, in the city of Jackson, state of MS, with the postal code 392328801.
What is the Maxillofacial Surgery Center Of Central Mississippi's specialty and taxonomy code?
The Maxillofacial Surgery Center Of Central Mississippi's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
When was the Maxillofacial Surgery Center Of Central Mississippi's 1609960749 issued?
The Maxillofacial Surgery Center Of Central Mississippi's 1609960749 was issued on 2006-10-03.
As of what date was the information regarding Maxillofacial Surgery Center Of Central Mississippi, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maxillofacial Surgery Center Of Central Mississippi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.