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

South Mississippi Oral Surgery & Implant Center PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1780466300

South Mississippi Oral Surgery & Implant Center PLLC is an Oral and Maxillofacial Surgery (Dentist) in Gulfport, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12231 Bernard Pkwy
Gulfport, MS 39503-5086
Phone: (601) 264-7611
Fax: (601) 268-0693
Show map & directions

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 number1780466300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bennett York — Owner · (601) 264-7611
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address1421 S 28th Ave, Hattiesburg, MS 39402-3108

Other providers in Gulfport