North Mississippi Oral & Maxillofacial Surgery Associates, Pa
LBN: North Mississippi Oral & Maxillofacial Surgery Associates, Pa
North Mississippi Oral & Maxillofacial Surgery Associates, Pa is an health care organization with primary practice located at 1043 S Madison St , Tupelo MS 38801-6309. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty.
North Mississippi Oral & Maxillofacial Surgery Associates, Pa can be contacted via phone (662) 842-8200, or through Costello, Karen Lynn via phone (662) 842-8200.
Contact Information
Primary practice address
1043 S Madison St
Tupelo MS 38801-6309
Phone: (662) 842-8200
Fax: (662) 844-3157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | MS162174 | Mississippi |
Profile Details
| NPI number | 1831104793 |
|---|---|
| LBN Legal business name | North Mississippi Oral & Maxillofacial Surgery Associates, Pa |
| DBA Doing business as | |
| Authorized official | Costello, Karen Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831104793 | NPPES |
| Mississippi | MEDICAID | 05021312 | |
| Mississippi | MEDICAID | 0660076 | |
| Mississippi | MEDICAID | 00063290 | |
| Mississippi | MEDICAID | 00660372 |
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