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

Evan Reed Sobiesk

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1801416219

Evan Reed Sobiesk is an Oral Surgery in Hattiesburg, Mississippi. Qualified in 2024, 2 years ago. Practices with Oral and Maxillofacial Surgery Clinic of South Misssissippi, PA, a 4-clinician group. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1421 S 28th Ave
Hattiesburg, MS 39402-3108
Phone: (601) 264-7611
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 · Licence 4160-20 (MS)
Dentist Taxonomy 122300000X · Licence 4160-20 (MS)

Record details

NPI number1801416219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2020
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
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 schoolOTHER
Graduated 2024 (2 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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