Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a.
Oral and Maxillofacial Dental Clinic
1421 S 28th Ave, Hattiesburg
Mississippi, 39402-3108
601-264-7611 601-268-0693
Maps & DirectionsOral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. is a Oral and Maxillofacial Dental Clinic in Hattiesburg, Mississippi. It is located at 1421 S 28th Ave, Hattiesburg, MS and its contact number is 601-264-7611. The authorized person for Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. is Mrs. Sandra P Odom
who is Administrator of the clinic and their contact number is 601-261-9317.
Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. Clinic deals with 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.
Complete Clinic Profile:
Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1421 S 28th Ave, Hattiesburg,
Mississippi, 39402-3108 |
| Phone: | 601-264-7611 |
| Fax: | 601-268-0693 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Sandra P Odom |
| Position: | Administrator |
| Contact Number: | 601-261-9317 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. clinic are as mentioned below.
| NPI Number: | 1578596060 |
| NPI Enumeration Date: | 08 Jul, 2006 |
| NPI Last Update On: | 22 Jul, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 06271376 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a.
1421 S 28th Ave,
Hattiesburg, Mississippi |
| Zip: | 39402-3108 |
| Phone Number: | 601-264-7611 |
| Fax Number: | 601-268-0693 |
Patients can reach Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a. at
1421 S 28th Ave, Hattiesburg, Mississippi or can
call to book an appointment on 601-264-7611.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.