Dr. Bennett Van York
D.D.S. | Oral and Maxillofacial Surgeon | 64+ years Exp
1421 S 28th Ave, Hattiesburg
Mississippi, 39402-3108
601-264-7611 601-268-0693
Maps & DirectionsDr. Bennett Van York is a Hattiesburg, Mississippi based Oral and Maxillofacial Surgeon with
64 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
University Of Mississippi Medical Center School Of Dentistry in 1961. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Bennett Van York is
OS1679 for Oral and Maxillofacial Surgery in Tennessee. His current practice location is
1421 S 28th Ave, Hattiesburg. Patients can reach him at
601-264-7611.
Dr. Bennett Van York 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 Profile:
Dr. Bennett Van York speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Bennett Van York |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Experience: | 64+ years |
| Medical School Attended: | University Of Mississippi Medical Center School Of Dentistry |
| Graduation Year: | 1961 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 1421 S 28th Ave, Hattiesburg,
Mississippi, 39402-3108 |
| Phone: | 601-264-7611 |
| Fax: | 601-268-0693 |
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 are as mentioned below.
| PAC ID: | 5496834939 |
| Enrollment ID: | I20120130000702 |
| NPI Number: | 1417045386 |
| NPI Enumeration Date: | 10 Oct, 2006 |
| NPI Last Update On: | 18 Oct, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bennett Van York are as mentioned below.
| License Number | Specialization | State | Status | |
| OS1679 | Oral and Maxillofacial Surgery | Tennessee | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Bennett Van York is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oral And Maxillofacial Surgery Clinic Of South Misssissippi, P.a. (2163501602) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bennett Van York such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0660133 | Medicaid | Mississippi | |
| 1182-65 | Other | Mississippi | DENTAL LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1421 S 28th Ave,
Hattiesburg, Mississippi |
| Zip: | 39402-3108 |
| Phone Number: | 601-264-7611 |
| Fax Number: | 601-268-0693 |
Patients can reach Dr. Bennett Van York 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.