OrganizationActive
Oral and Facial Surgery Center
NPI 1043815855 · Oral and Maxillofacial Pathology Dentistry · Hattiesburg, MS
Provider details
- NPI number
- 1043815855
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Whitney Powell, Office Manager(601) 261-2611
Specialties & taxonomies
Dental Providers
Practice location
811 S 28th Ave
Hattiesburg, MS 39402-2602
Phone: (601) 261-2611
Fax: (601) 261-2711
Approximate (ZIP-level) locationGet directions
Mailing address
811 S 28th Ave
Hattiesburg, MS 39402-2602
Registry dates
- Enumerated
- 2020-12-01
- Last updated
- 2020-12-21
- Certified
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.