HARBORVIEW ORAL AND FACIAL SURGERY CENTER
NPI 1063781086
Dentist - Oral and Maxillofacial Surgery in Gulfport, MS

Active since December 20, 2011
1301 25TH AVENUE, SUITE 3, GULFPORT, MS 39501(228) 867-0121(228) 867-0252 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harborview Oral And Facial Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBORVIEW ORAL AND FACIAL SURGERY CENTER (NPI 1063781086) is a healthcare organization registered as an oral and maxillofacial surgery in Gulfport, Mississippi and active in the NPI registry since December 2011. The organization lists Jason O Rosetti, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1063781086
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameHARBOR VIEW ORAL AND FACIAL SURGERY LLC
Location Address1301 25TH AVENUE, SUITE 3Gulfport, MS 39501
Mailing Address1301 25th Avenue, Suite 3Gulfport, MS 39501 · (228) 867-0121 · Fax (228) 867-0252
Fax(228) 867-0252
Organization SubpartNo
Authorized OfficialJason O RosettiOwner/provider · (228) 867-0121
Enumeration DateDecember 20, 2011
NPI 1063781086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MS · 335805
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1301 25TH AVENUE, Gulfport, MS 39501

Other Names 1

Doing Business AsHarborview Oral And Facial Surgery Center

Other Identifiers 1

Medicaid03520709MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor View Oral And Facial Surgery LLC's NPI number?

The NPI number for Harbor View Oral And Facial Surgery LLC is 1063781086. It was assigned to this organization in the NPPES registry on December 20, 2011. The provider is doing business as Harborview Oral And Facial Surgery Center.

Where is Harbor View Oral And Facial Surgery LLC located?

Harbor View Oral And Facial Surgery LLC is located at 1301 25th Avenue Suite 3, Gulfport, MS 39501. The listed phone number is (228) 867-0121.

What is Harbor View Oral And Facial Surgery LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Harbor View Oral And Facial Surgery LLC was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.