Maxillofacial Surgery Center Of Central Mississippi
LBN: Maxillofacial Surgery Center Of Central Mississippi
Maxillofacial Surgery Center Of Central Mississippi is an health care organization with primary practice located at 266 Katherine Dr , Jackson MS 39232-8801. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Other Service Providers / Specialist. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Maxillofacial Surgery Center Of Central Mississippi can be contacted via phone (601) 420-3223, or through Drummond, J Joel via phone (601) 420-3223.
Contact Information
Primary practice address
266 Katherine Dr
Jackson MS 39232-8801
Phone: (601) 420-3223
Fax: (601) 420-3054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3119.00 | Mississippi |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2820.94 | Mississippi |
| Other Service Providers / Specialist | 174400000X | 05.339.00 | Mississippi |
| Other Service Providers / Specialist | 174400000X | 05.340.00 | Mississippi |
| Other Service Providers / Specialist | 174400000X | 16843 | Mississippi |
| Other Service Providers / Specialist | 174400000X | 16896 | Mississippi |
Profile Details
| NPI number | 1609960749 |
|---|---|
| LBN Legal business name | Maxillofacial Surgery Center Of Central Mississippi |
| DBA Doing business as | |
| Authorized official | Drummond, J Joel D.M.D., M.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609960749 | NPPES |
| Mississippi | MEDICAID | 00123548 | |
| Mississippi | MEDICAID | 00123549 |
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