Organization
CALOSS CENTER FOR FACIAL RECONSTRUCTION PLLC
Active
Other names
Aligned Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CALOSS DDS, MD (OWNER)
(601) 841-3223
Entity
Organization
Contact information
Practice address
1200 N STATE ST STE 130, JACKSON, MS 39202-2027
(601) 841-3223
(601) 841-3172
Mailing address
1200 N STATE ST STE 130, JACKSON, MS 39202-2027
(601) 841-3223
(601) 841-3172
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003707006
—
MS
Enumeration date
10/18/2021
Last updated
07/29/2025
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