Organization
HANCOCK ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ISMAIL DDS, MD (SURGEON)
(228) 467-4229
Entity
Organization
Contact information
Practice address
1013 US-90, BAY SAINT LOUIS, MS 39520
(228) 467-4229
Mailing address
1013 US-90, BAY SAINT LOUIS, MS 39520
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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