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
Fax: (601) 420-3054
Website:
Authorized official contact:
Name: Drummond, J Joel D.M.D., M.D.

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609960749 NPPES
Mississippi MEDICAID 00123548
Mississippi MEDICAID 00123549

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