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Organization

MAXILLOFACIAL SURGERY CENTER OF CENTRAL MISSISSIPPI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. J JOEL DRUMMOND D.M.D., M.D. (CO-OWNER)
(601) 420-3223
Entity
Organization

Contact information

Practice address
266 KATHERINE DR, JACKSON, MS 39232-8801
(601) 420-3223
(601) 420-3054
Mailing address
266 KATHERINE DR, JACKSON, MS 39232-8801
(601) 420-3223
(601) 420-3054

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2820.94
MS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3119.00
MS
174400000X
Specialist
05.339.00
MS
174400000X
Specialist
05.340.00
MS
174400000X
Specialist
16843
MS
174400000X
Specialist
Primary
16896
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00123548
MS
05
00123549
MS
Enumeration date
10/03/2006
Last updated
09/11/2025
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