NPIMap

Organization Active NPI

East Mississippi Oral & Facial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Meridian, MS
National Provider Identifier
1407203268
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3785-15 Issued in MS
Legal business name
EAST MISSISSIPPI ORAL & FACIAL SURGERY, LLC
Practice address
1903 23Rd Ave
Meridian, MS 39301-3108
Phone
(601) 485-2494
Fax
(601) 485-4837
NPI assigned
May 20, 2016
Last updated
May 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Asif Lala, DMD, MDNPI 1649425596
Title
Owner/Oral Surgeon
Phone
(601) 485-2494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3785-15 MS Primary

Addresses

Primary practice location

1903 23Rd Ave
Meridian, MS 39301-3108

Mailing address

1903 23Rd Ave
Meridian, MS 39301-3108
Phone (601) 485-2494

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1407203268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013108",
            "telephone_number": "601-485-2494",
            "fax_number": "601-485-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013108",
            "telephone_number": "601-485-2494",
            "fax_number": "601-485-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MISSISSIPPI ORAL & FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "LALA",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "601-485-2494",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "3785-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.