Oxford Maxillofacial Surgery, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

OXFORD MAXILLOFACIAL SURGERY, INC.

Practice address

218 S Thomas St Ste 122
Tupelo, MS 38801-5300

Phone

(662) 690-5354

NPI assigned

Dec 9, 2024

Organization subpart

Yes

Parent organization

OXFORD MAXILLOFACIAL SURGERY, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Smith

Title

Ceo

Phone

(470) 207-3264

Specialties & licenses 1

Addresses

Other names 1

• Oxford Maxillofacial Surgery Center Doing business as

Tax ID family

Oxford Maxillofacial Surgery Inc2 organizations share this tax ID, including this one

Part of

Oxford Maxillofacial Surgery Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oxford Maxillofacial Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Oxford, MS
  • NPI 1245046713
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Oxford Maxillofacial Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Oxford, MS
  • NPI 1245046713
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Fred Everitt III, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Tupelo, MS
  • NPI 1639389828

  Oral and Maxillofacial Surgery

  NPD (past)
• Scott Delano Whitaker, DMD MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Oxford, MS
  • NPI 1497822662
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1013723592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555347",
            "telephone_number": "662-236-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S THOMAS ST STE 122",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015300",
            "telephone_number": "662-690-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD MAXILLOFACIAL SURGERY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OXFORD MAXILLOFACIAL SURGERY, INC.",
        "enumeration_date": "2024-12-09",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-207-3264"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Maxillofacial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ouch Urgent Care Inc
• Lee Owen, RN
• Carrie Owens
• Savannah Owens, NNP-BC
• Virginia Owens
• Oxford Treatment Center, LLC
• Oxycare Plus, Inc.
• Sumair Ozair, DO
• Mary Ellis Pace, M.D.
• Samuel C Pace, MD

• All providers in Tupelo, MS
• Oral and Maxillofacial Surgery (Dentist) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.