Active NPI
Oral & Facial Surgical Center
- Oral and Maxillofacial Surgery (Dentist)
- Columbus, MS
National Provider Identifier
1548450794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 1834-79
- Legal business name
- ORAL & FACIAL SURGICAL CENTER
- Practice address
- 300 Hospital Dr
Columbus, MS 39705-1921 - Phone
- (662) 327-2100
- Fax
- (662) 327-2105
- NPI assigned
- Jul 25, 2007
- Last updated
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Edgar Griffin Jr., DMD
- Title
- Presidnet
- Phone
- (662) 327-2100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1834-79 | MS | Primary |
Addresses
Primary practice location
300 Hospital Dr
Columbus, MS 39705-1921
Mailing address
300 Hospital Dr
Columbus, MS 39705-1921
Phone (662) 327-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015663 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Columbus, MS
- NPI 1336168111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185321600000",
"number": "1548450794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOSPITAL DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051921",
"telephone_number": "662-327-2100",
"fax_number": "662-327-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051921",
"telephone_number": "662-327-2100",
"fax_number": "662-327-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL & FACIAL SURGICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "EDGAR",
"authorized_official_title_or_position": "PRESIDNET",
"authorized_official_telephone_number": "662-327-2100",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MS",
"license": "1834-79",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9015663",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.