Organization
ORAL & FACIAL SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDGAR GRIFFIN JR. DMD (PRESIDNET)
(662) 327-2100
Entity
Organization
Contact information
Practice address
300 HOSPITAL DR, COLUMBUS, MS 39705-1921
(662) 327-2100
(662) 327-2105
Mailing address
300 HOSPITAL DR, COLUMBUS, MS 39705-1921
(662) 327-2100
(662) 327-2105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1834-79
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015663
—
MS
Enumeration date
07/25/2007
Last updated
07/25/2007
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