Gulf Coast Oral & Facial Surgery, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GULF COAST ORAL & FACIAL SURGERY, P.A.

Practice address

1760 Medical Park Dr
Suite a
Biloxi, MS 39532-2131

Phone

(228) 388-5925

Fax

(228) 388-8153

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert T Watts, Jr, D.M.D.NPI 1407809098

Title

Physicain/Owner

Phone

(228) 388-5925

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert T Watts, Jr, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Biloxi, MS
  • NPI 1407809098
  NPD (past) Authorized official
• Scott Joseph Heitzmann, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lynn Haven, FL
  • NPI 1679592612
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386691343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 MEDICAL PARK DR",
            "address_2": "SUITE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322131",
            "telephone_number": "228-388-5925",
            "fax_number": "228-388-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MEDICAL PARK DR",
            "address_2": "SUITE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322131",
            "telephone_number": "228-388-5925",
            "fax_number": "228-388-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST ORAL & FACIAL SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTS, JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICAIN/OWNER",
        "authorized_official_telephone_number": "228-388-5925",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "852815",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gulf Coast Outpatient Surgery Center, LLC
• Gulf Coast Outpatient Surgery Center, LLC (Gulf Coast Outpatient Surgery Center)
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA

• Oral and Maxillofacial Surgery (Dentist) in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.