Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Mississippi Oral & Maxillofacial Surgery Associates, PA

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1831104793

North Mississippi Oral & Maxillofacial Surgery Associates, PA is an Oral and Maxillofacial Pathology Dentistry in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1043 S Madison St
Tupelo, MS 38801-6309
Phone: (662) 842-8200
Fax: (662) 844-3157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence MS162174 (MS)

Record details

NPI number1831104793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Costello — Office Manager · (662) 842-8200
NPI enumeratedJuly 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1043 S Madison St, Tupelo, MS 38801-6309