Hattiesburg Oral Surgery 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 Hattiesburg Oral Surgery is Mrs. Sandra P Odom
who is Administrator of the clinic and their contact number is 601-261-9317. Hattiesburg Oral Surgery 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:
Hattiesburg Oral Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Hattiesburg Oral Surgery
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 Hattiesburg Oral Surgery 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 Hattiesburg Oral Surgery 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:
Hattiesburg Oral Surgery 1421 S 28th Ave, Hattiesburg, Mississippi
Zip:
39402-3108
Phone Number:
601-264-7611
Fax Number:
601-268-0693
Patients can reach Hattiesburg Oral Surgery at 1421 S 28th Ave, Hattiesburg, Mississippi or can call to book an appointment on 601-264-7611. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.