1. Home
  2. Directory
  3. Mississippi
  4. Hattiesburg
  5. Dentist
  6. NPI Profile

DR. JOHN STEPHEN COCKERHAM D.D.S.
NPI 1689762528
Dentist - Oral and Maxillofacial Surgery in Hattiesburg, MS

Active since October 10, 2006
1421 S 28TH AVE, HATTIESBURG, MS 39402(601) 264-7611(601) 268-0693 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Stephen Cockerham D.d.s. NPPES

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

DR. JOHN STEPHEN COCKERHAM D.D.S. (NPI 1689762528) is an individual oral and maxillofacial surgery provider in Hattiesburg, Mississippi, licensed in Mississippi (OS 20-77) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689762528
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN STEPHEN COCKERHAMCredential: D.D.S.
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
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689762528 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 · OS 20-77
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
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINT20845MS
Other1602-74MS · Dental License
Medicaid0660132MS

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
ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A.
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 John Cockerham's NPI number?

The NPI number for John Cockerham is 1689762528. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is John Cockerham located?

John Cockerham practices at 1421 S 28th Ave, Hattiesburg, MS 39402. The listed phone number is (601) 264-7611.

What is John Cockerham'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 John Cockerham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.