SOUTH MISSISSIPPI ORAL SURGERY & IMPLANT CENTER PLLC
NPI 1780466300
Dentist - Oral and Maxillofacial Surgery in Gulfport, MS

Q: What is South Mississippi Oral Surgery & Implant Center PLLC's specialty?

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

Active since October 18, 2023

12231 BERNARD PKWY, GULFPORT, MS 39503(601) 264-7611(601) 268-0693 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Mississippi Oral Surgery & Implant Center Pllc NPPES

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

SOUTH MISSISSIPPI ORAL SURGERY & IMPLANT CENTER PLLC (NPI 1780466300) is a healthcare organization registered as an oral and maxillofacial surgery in Gulfport, Mississippi and active in the NPI registry since October 2023. The organization lists Bennett Van York, Owner, as its authorized official.

NPPES Registry Identity

NPI1780466300

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTH MISSISSIPPI ORAL SURGERY & IMPLANT CENTER PLLC

Location Address12231 BERNARD PKWYGulfport, MS 39503-5086

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 OfficialBennett Van YorkOwner · (601) 264-7611

Enumeration DateOctober 18, 2023

NPPES CertifiedOctober 18, 2023

✔ NPI 1780466300 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.

12231 BERNARD PKWY, Gulfport, MS 39503

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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

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

DR. JARED AKERS DMD

Oral & Maxillofacial Surgery

12231 BERNARD PKWY
GULFPORT, MS 39503

Harrison County (228) 687-1900

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 South Mississippi Oral Surgery & Implant Center PLLC's NPI number?

The NPI number for South Mississippi Oral Surgery & Implant Center PLLC is 1780466300. It was assigned to this organization in the NPPES registry on October 18, 2023.

Where is South Mississippi Oral Surgery & Implant Center PLLC located?

South Mississippi Oral Surgery & Implant Center PLLC is located at 12231 Bernard Pkwy, Gulfport, MS 39503. The listed phone number is (601) 264-7611.

What is South Mississippi Oral Surgery & Implant Center PLLC's specialty?

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

What insurance does South Mississippi Oral Surgery & Implant Center PLLC 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 list South Mississippi Oral Surgery & Implant Center PLLC 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 South Mississippi Oral Surgery & Implant Center PLLC was last updated on October 18, 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.