# HARBOR VIEW ORAL AND FACIAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harborview Oral and Facial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063781086
- **Authorized official:** DR. JASON O ROSETTI DDS (OWNER/PROVIDER)
- **Authorized official phone:** (228) 867-0121

## Contact information

- **Practice address:** 1301 25TH AVENUE, SUITE 3, GULFPORT, MS 39501
- **Practice address phone:** (228) 867-0121
- **Practice address fax:** (228) 867-0252
- **Mailing address:** 1301 25TH AVENUE, SUITE 3, GULFPORT, MS 39501
- **Mailing address phone:** (228) 867-0121
- **Mailing address fax:** (228) 867-0252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 335805 | MS | Yes |

## Other

- **Enumeration date:** 12/20/2011
- **Last updated:** 12/20/2011