MISSISSIPPI OROFACIAL PAIN
NPI 1639813454
Dentist - Orofacial Pain in Ridgeland, MS

Active since April 27, 2022
108 S MAPLE ST STE C, RIDGELAND, MS 39157(601) 720-7662 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2023, Mar 21, 2023, Jan 31, 2023 and 1 more (4 updates tracked since 2022).

About Mississippi Orofacial Pain NPPES

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

MISSISSIPPI OROFACIAL PAIN (NPI 1639813454), doing business as Mississippi Orofacial Pain Specialists, is a healthcare organization registered as an orofacial pain in Ridgeland, Mississippi and active in the NPI registry since April 2022. The organization lists Paul Coleman Riley, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1639813454
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameMISSISSIPPI OROFACIAL PAIN, LLC
Location Address108 S MAPLE ST STE CRidgeland, MS 39157-2305
Mailing Address108 S Maple St Ste CRidgeland, MS 39157-2357 · (697) 567-2555 · Fax (769) 567-2556
Organization SubpartNo
Authorized OfficialPaul Coleman RileyAuthorized Official · (769) 567-2555
Enumeration DateApril 27, 2022
Last NPPES UpdateDecember 28, 20234 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
NPI 1639813454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
108 S MAPLE ST STE C, Ridgeland, MS 39157

Other Names 2

Other NameMississippi Orofacial Pain
Doing Business AsMississippi Orofacial Pain Specialists

Other Identifiers 2

Other1639813454MS · Location Npi
Other1285640383MS · Provider Npi

Other Providers at the Same Location NPPES

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

Dentist (Orofacial Pain)
108 S MAPLE ST STE C
RIDGELAND, MS 39157

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 Mississippi Orofacial Pain, LLC's NPI number?

The NPI number for Mississippi Orofacial Pain, LLC is 1639813454. It was assigned to this organization in the NPPES registry on April 27, 2022. The provider is doing business as Mississippi Orofacial Pain Specialists. The provider is also known as Mississippi Orofacial Pain.

Where is Mississippi Orofacial Pain, LLC located?

Mississippi Orofacial Pain, LLC is located at 108 S Maple St Ste C, Ridgeland, MS 39157. The listed phone number is (601) 720-7662.

What is Mississippi Orofacial Pain, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

When was this NPI record last updated?

The NPPES record for Mississippi Orofacial Pain, LLC was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.