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

Dr. Bennett Van York, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1417045386

Dr. Bennett Van York, DDS is an Oral Surgery in Hattiesburg, Mississippi. Graduated from University of Mississippi Medical Center School of Dentistry in 1961, 65 years ago. Practices with Oral and Maxillofacial Surgery Clinic of South Misssissippi, PA, a 4-clinician group. Licensed in Tennessee.

Years since qualifying
65
Trained at
University of Mississippi Medical Center School of Dentistry
Licensed in
TN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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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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Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence OS1679 (TN)

Record details

NPI number1417045386
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address1421 S 28th Ave, Hattiesburg, MS 39402-3108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF MISSISSIPPI MEDICAL CENTER SCHOOL OF DENTISTRY
Graduated 1961 (65 years in practice)
Group practice Oral And Maxillofacial Surgery Clinic Of South Misssissippi, P.A. — 4 clinicians
Accepts Medicare assignment Not indicated

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