South Mississippi Oral Surgery & Implant Center PLLC
NPI 1780466300 · Oral and Maxillofacial Surgery (Dentist) · Gulfport, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Mississippi Oral Surgery & Implant Center PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Gulfport, MS (NPI 1780466300).
Provider details
- NPI number
- 1780466300
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Bennett York, Owner(601) 264-7611
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Registry dates
- Enumerated
- 2023-10-18
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Frequently asked questions
- What is South Mississippi Oral Surgery & Implant Center PLLC's NPI number?
- South Mississippi Oral Surgery & Implant Center PLLC's National Provider Identifier (NPI) is 1780466300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Mississippi Oral Surgery & Implant Center PLLC?
- South Mississippi Oral Surgery & Implant Center PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is South Mississippi Oral Surgery & Implant Center PLLC located?
- South Mississippi Oral Surgery & Implant Center PLLC's practice location on file with NPPES is 12231 Bernard Pkwy, Gulfport, MS 39503-5086.
- What is South Mississippi Oral Surgery & Implant Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Mississippi Oral Surgery & Implant Center PLLC is (601) 264-7611.
- Does South Mississippi Oral Surgery & Implant Center PLLC accept Medicare?
- South Mississippi Oral Surgery & Implant Center PLLC 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 South Mississippi Oral Surgery & Implant Center PLLC?
- The authorized official listed on South Mississippi Oral Surgery & Implant Center PLLC's NPPES record is Bennett York, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Mississippi Oral Surgery & Implant Center PLLC's NPI active?
- Yes — South Mississippi Oral Surgery & Implant Center PLLC's NPI (1780466300) is active in the NPPES registry as of the last update on 2023-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.