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HATTIESBURG ORAL SURGERY
NPI 1578596060
Dentist - Oral and Maxillofacial Surgery in Hattiesburg, MS

Active since July 08, 2006
1421 S 28TH AVE, HATTIESBURG, MS 39402(601) 264-7611(601) 268-0693 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2020, Jun 22, 2020 (2 updates tracked since 2020).

About Hattiesburg Oral Surgery NPPES

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

HATTIESBURG ORAL SURGERY (NPI 1578596060) is a healthcare organization registered as an oral and maxillofacial surgery in Hattiesburg, Mississippi and active in the NPI registry since July 2006. The organization lists Sandra P Odom, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578596060
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A.
Location Address1421 S 28TH AVEHattiesburg, MS 39402-3108
Mailing Address1421 S 28th AveHattiesburg, MS 39402-3108 · (601) 264-7611 · Fax (601) 268-0693
Phone(601) 264-7611
Fax(601) 268-0693
Organization SubpartNo
Authorized OfficialSandra P OdomAdministrator · (601) 261-9317
Enumeration DateJuly 8, 2006
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1578596060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
1421 S 28TH AVE, Hattiesburg, MS 39402
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Other Names 3

Doing Business AsHattiesburg Oral Surgery
Other NameDrs. York, Bishop & West
Other NameDrs. York, Cockerham & Hughes

Other Identifiers 1

Medicaid06271376MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GRIFFIN HAROLD WEST D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (601) 264-7611
DR. JAMES ALSTON OWEN D.D.S
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (012) 647-6116
DR. BENNETT VAN YORK D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (601) 264-7611
DR. JOHN STEPHEN COCKERHAM D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (601) 264-7611
EVAN REED SOBIESK
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (601) 264-7611

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 Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A.'s NPI number?

The NPI number for Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A. is 1578596060. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider is doing business as Hattiesburg Oral Surgery. The provider is also known as Drs. York, Bishop & West and Drs. York, Cockerham & Hughes.

Where is Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A. located?

Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A. is located at 1421 S 28th Ave, Hattiesburg, MS 39402. The listed phone number is (601) 264-7611.

What is Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A.'s specialty?

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

What insurance does Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A. was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.