NORTH MISSISSIPPI ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PA
NPI 1831104793
Dentist - Oral and Maxillofacial Pathology in Tupelo, MS

Q: What is North Mississippi Oral & Maxillofacial Surgery Associates, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Active since July 29, 2006

1043 S MADISON ST, TUPELO, MS 38801(662) 842-8200(662) 844-3157 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About North Mississippi Oral & Maxillofacial Surgery Associates, Pa NPPES

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

NORTH MISSISSIPPI ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PA (NPI 1831104793) is a healthcare organization registered as an oral and maxillofacial pathology in Tupelo, Mississippi and active in the NPI registry since July 2006. The organization lists Karen Lynn Costello, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831104793

Entity TypeOrganization

Primary Taxonomy1223P0106X

Legal Business NameNORTH MISSISSIPPI ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PA

Location Address1043 S MADISON STTupelo, MS 38801-6309

Mailing Address1043 S Madison StTupelo, MS 38801-6309 · (662) 842-8200 · Fax (662) 844-3157

Phone(662) 842-8200

Fax(662) 844-3157

Organization SubpartNo

Authorized OfficialKaren Lynn CostelloOffice Manager · (662) 842-8200

Enumeration DateJuly 29, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1831104793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in MS · MS162174

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

1043 S MADISON ST, Tupelo, MS 38801

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Other Identifiers 4

Medicaid00063290MS

Medicaid0660076MS

Medicaid00660372MS

Medicaid05021312MS

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. JAMES FRAZIER WILLIAMS D.M.D., M.D.

Dentist (Oral and Maxillofacial Surgery)