East Mississippi Oral & Facial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

3785-15 Issued in MS

Legal business name

EAST MISSISSIPPI ORAL & FACIAL SURGERY, LLC

Practice address

1212 24TH Avenue
Meridian, MS 39301

Phone

(601) 286-5240

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Asif A Lala, DMD, MDNPI 1649425596

Title

Owner

Phone

(912) 675-8468

Specialties & licenses 1

Addresses

Tax ID family

East Mississippi Oral Facial Surgery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• East Mississippi Oral & Facial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Meridian, MS
  • NPI 1407203268
  NPD tax ID

Locations

Practitioners 1

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

• Asif A Lala, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Meridian, MS
  • NPI 1649425596
  NPD (past) Authorized official

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1235508342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 24TH AVENUE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-286-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 24TH AVENUE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-286-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MISSISSIPPI ORAL & FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "LALA",
        "authorized_official_first_name": "ASIF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-675-8468",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "3785-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie E. Earley, ACNP
• East Central Mississippi Health Network Incorporated
• East Mississippi Anesthesia
• East Mississippi Endoscopy Center LLC
• East Mississippi Medical Clinic, PLLC
• East Mississippi Oral & Facial Surgery, LLC
• East Mississippi State Hospital
• East Mississippi State Hospital
• East Mississippi State Hospital
• East Mississippi State Hospital

• Oral and Maxillofacial Surgery Clinic/Center in Meridian, MS
• Providers in Meridian, MS by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.