SOUTHERN ORTHODONTIC SPECIALISTS, P.C.
NPI 1801921614
Dentist - Orthodontics and Dentofacial Orthopedics in Southaven, MS

Active since February 22, 2007
7732 AIRWAYS BLVD, SOUTHAVEN, MS 38671(662) 349-0777(662) 349-0782 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Orthodontic Specialists, P.c. NPPES

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

SOUTHERN ORTHODONTIC SPECIALISTS, P.C. (NPI 1801921614) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Southaven, Mississippi and active in the NPI registry since February 2007. The organization lists David R Libby, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1801921614
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSOUTHERN ORTHODONTIC SPECIALISTS, P.C.
Location Address7732 AIRWAYS BLVDSouthaven, MS 38671-5306
Mailing Address7732 Airways BlvdSouthaven, MS 38671-5306 · (662) 349-0777 · Fax (662) 349-0782
Fax(662) 349-0782
Organization SubpartNo
Authorized OfficialDavid R LibbyOrthodontist · (662) 349-0777
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1801921614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MS · 1154-64
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
7732 AIRWAYS BLVD, Southaven, MS 38671

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

Other Providers at the Same Location NPPES 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
7732 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Dentist (Orthodontics and Dentofacial Orthopedics)
7732 AIRWAYS BLVD
SOUTHAVEN, MS 38671

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 Southern Orthodontic Specialists, P.C.'s NPI number?

The NPI number for Southern Orthodontic Specialists, P.C. is 1801921614. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Southern Orthodontic Specialists, P.C. located?

Southern Orthodontic Specialists, P.C. is located at 7732 Airways Blvd, Southaven, MS 38671. The listed phone number is (662) 349-0777.

What is Southern Orthodontic Specialists, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Southern Orthodontic Specialists, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.