Organization
THE ORAL & MAXILLOFACIAL SURGERY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HOOD (PRACTICE MANAGER)
(601) 425-2356
Entity
Organization
Contact information
Practice address
325 S 13TH AVE, LAUREL, MS 39440-4342
(601) 425-2356
(601) 426-9038
Mailing address
325 S 13TH AVE, LAUREL, MS 39440-4342
(601) 425-2356
(601) 426-9038
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OS-082-84
MS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
OS-287-95
MS
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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