South Mississippi Maxillofacial Surgery Center in Biloxi - Ambulatory Surgical
South Mississippi Maxillofacial Surgery Center - NPI 1902858004
South Mississippi Maxillofacial Surgery Center is a Ambulatory Surgical in Biloxi, Mississippi. South Mississippi Maxillofacial Surgery Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for South Mississippi Maxillofacial Surgery Center is 1902858004. The last update date is 2020-08-22.
South Mississippi Maxillofacial Surgery Center's current location address is 1760 Medical Park Dr, Biloxi, Mississippi. You can contact this provider via phone number 2283885925 and fax number 2283888153. The mailing address for South Mississippi Maxillofacial Surgery Center is 1760 Medical Park Dr, Biloxi, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Mississippi Maxillofacial Surgery Center |
|---|---|
| Address | 1760 Medical Park Dr, Biloxi, Mississippi |
| Phone Number | 2283885925 |
| Fax Number | 2283888153 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL PHYSI |
|---|---|
| Authorized Official Name | Watts, Jr T Robert |
| Credentials | DMD |
| Telephone Number | 2283885925 |
NPI Number Detail
| NPI Number | 1902858004 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1760 Medical Park Dr |
|---|---|
| City | Biloxi |
| State | Mississippi (MS) |
| Post Code | 395322131 |
| Phone Number | 2283885925 |
| Fax Number | 2283888153 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1987800 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to South Mississippi Maxillofacial Surgery Center by the Centers for Medicare & Medicaid Services?
The South Mississippi Maxillofacial Surgery Center has been assigned the NPI (National Provider Identifier) 1902858004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where South Mississippi Maxillofacial Surgery Center is geographically located?
The South Mississippi Maxillofacial Surgery Center is physically situated at the following location: 1760 Medical Park Dr, Biloxi, MS, 395322131.
What is South Mississippi Maxillofacial Surgery Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for South Mississippi Maxillofacial Surgery Center is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.
When was the South Mississippi Maxillofacial Surgery Center's 1902858004 issued?
The South Mississippi Maxillofacial Surgery Center's 1902858004 was issued on 2006-05-17.
When was the South Mississippi Maxillofacial Surgery Center's information last updated?
The South Mississippi Maxillofacial Surgery Center's information was last updated on 2020-08-22.
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