Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.

Public-record details

Address

1421 S 28th Ave, Hattiesburg, MS 39402

Phone

(601) 264-7611

Listed under

Oral & maxillofacial surgeons, Specialty practices

NPI

1578596060

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Oral and Maxillofacial Surgery (1223S0112X)

Authorized official

Sandra Odom, Administrator

NPI first issued

Jul 8, 2006

NPI record last updated

Jul 22, 2020

NPI 1578596060 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1578596060 in the official registry ↗