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

Oral & Maxillofacial Surgery Clinic of South Misssissippi, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1578596060

Oral & Maxillofacial Surgery Clinic of South Misssissippi, PA is an Oral and Maxillofacial Surgery (Dentist) in Hattiesburg, Mississippi. Registered with an NPI since 2006.

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

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Practice location Address checks out

1421 S 28th Ave
Hattiesburg, MS 39402-3108
Phone: (601) 264-7611
Fax: (601) 268-0693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1578596060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Odom — Administrator · (601) 261-9317
Other names Hattiesburg Oral Surgery; Hattiesburg Oral Surgery; Drs. York, Bishop & West; Drs. York, Cockerham & Hughes
NPI enumeratedJuly 8, 2006
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing address1421 S 28th Ave, Hattiesburg, MS 39402-3108

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