Southern Oral And Maxillofacial Surgery Center, Inc
Oral and Maxillofacial Dental Clinic
1205 Mission Park Dr, Vicksburg
Mississippi, 39180-3747
601-661-0034 601-661-0367
Maps & DirectionsSouthern Oral And Maxillofacial Surgery Center, Inc is a Oral and Maxillofacial Dental Clinic in Vicksburg, Mississippi. It is located at 1205 Mission Park Dr, Vicksburg, MS and its contact number is 601-661-0034. The authorized person for Southern Oral And Maxillofacial Surgery Center, Inc is Dr. Kevin Keith Keen
who is Surgeon/owner of the clinic and their contact number is 601-661-0034. The primary license number for Southern Oral And Maxillofacial Surgery Center, Inc is 2951-96 (Oral and Maxillofacial Surgery) in Mississippi.
Southern Oral And Maxillofacial Surgery Center, Inc 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:
Southern Oral And Maxillofacial Surgery Center, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southern Oral And Maxillofacial Surgery Center, Inc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1205 Mission Park Dr, Vicksburg,
Mississippi, 39180-3747 |
| Phone: | 601-661-0034 |
| Fax: | 601-661-0367 |
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: | Dr. Kevin Keith Keen |
| Position: | Surgeon/owner |
| Contact Number: | 601-661-0034 |
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 Southern Oral And Maxillofacial Surgery Center, Inc clinic are as mentioned below.
| NPI Number: | 1073784880 |
| NPI Enumeration Date: | 19 Mar, 2008 |
| NPI Last Update On: | 19 Mar, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Oral And Maxillofacial Surgery Center, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 2951-96 | Mississippi | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southern Oral And Maxillofacial Surgery Center, Inc
1205 Mission Park Dr,
Vicksburg, Mississippi |
| Zip: | 39180-3747 |
| Phone Number: | 601-661-0034 |
| Fax Number: | 601-661-0367 |
Patients can reach Southern Oral And Maxillofacial Surgery Center, Inc at
1205 Mission Park Dr, Vicksburg, Mississippi or can
call to book an appointment on 601-661-0034.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.