SOUTH MISSISSIPPI MAXILLOFACIAL SURGERY CENTER
NPI 1902858004
Clinic/Center - Ambulatory Surgical in Biloxi, MS

Active since May 17, 2006
1760 MEDICAL PARK DR, SUITE B, BILOXI, MS 39532(228) 388-5925(228) 388-8153 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Mississippi Maxillofacial Surgery Center NPPES

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

SOUTH MISSISSIPPI MAXILLOFACIAL SURGERY CENTER (NPI 1902858004) is a healthcare organization registered as an ambulatory surgical in Biloxi, Mississippi and active in the NPI registry since May 2006. The organization lists Robert T Watts, Jr, Oral Physician/medical Director, as its authorized official.

NPPES Registry Identity

NPI1902858004
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH MISSISSIPPI MAXILLOFACIAL SURGERY CENTER
Location Address1760 MEDICAL PARK DR, SUITE BBiloxi, MS 39532-2131
Mailing Address1760 Medical Park Dr, Suite BBiloxi, MS 39532-2131 · (228) 388-5925 · Fax (228) 388-8153
Fax(228) 388-8153
Organization SubpartNo
Authorized OfficialRobert T Watts, JrOral Physician/medical Director · (228) 388-5925
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1902858004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1760 MEDICAL PARK DR, Biloxi, MS 39532

Other Identifiers 1

Medicaid1987800MS

Other Providers at the Same Location NPPES 4

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

Dentist (Oral and Maxillofacial Surgery)
1760 MEDICAL PARK DR, SUTIE A
BILOXI, MS 39532
Dentist (Oral and Maxillofacial Surgery)
1760 MEDICAL PARK DR, SUITE A
BILOXI, MS 39532
Dentist (Oral and Maxillofacial Surgery)
1760 MEDICAL PARK DR, SUITE A
BILOXI, MS 39532
Dentist (Oral and Maxillofacial Surgery)
1760 MEDICAL PARK DR, SUITE A
BILOXI, MS 39532

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 Maxillofacial Surgery Center's NPI number?

The NPI number for South Mississippi Maxillofacial Surgery Center is 1902858004. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is South Mississippi Maxillofacial Surgery Center located?

South Mississippi Maxillofacial Surgery Center is located at 1760 Medical Park Dr Suite B, Biloxi, MS 39532. The listed phone number is (228) 388-5925.

What is South Mississippi Maxillofacial Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for South Mississippi Maxillofacial Surgery Center 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.