Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.
NPI 1578596060 · Oral and Maxillofacial Surgery (Dentist) · Hattiesburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A. is a Oral and Maxillofacial Surgery (Dentist) organization in Hattiesburg, MS (NPI 1578596060).
Provider details
- NPI number
- 1578596060
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Sandra Odom, Administrator(601) 261-9317
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Drs. York, Bishop & West
- Other name
- Drs. York, Cockerham & Hughes
- Doing business as
- Hattiesburg Oral Surgery
- Doing business as
- Hattiesburg Oral Surgery
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2020-07-22
- Certified
- 2020-07-22
Frequently asked questions
- What is Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.'s NPI number?
- Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.'s National Provider Identifier (NPI) is 1578596060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.?
- Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A. located?
- Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.'s practice location on file with NPPES is 1421 S 28th Ave, Hattiesburg, MS 39402-3108.
- What is Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A. is (601) 264-7611.
- Does Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A. accept Medicare?
- Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.?
- The authorized official listed on Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.'s NPPES record is Sandra Odom, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.'s NPI active?
- Yes — Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.'s NPI (1578596060) is active in the NPPES registry as of the last update on 2020-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.