Oral and Facial Surgery of Mississippi

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

OS34000 Issued in MS

Legal business name

ORAL AND FACIAL SURGERY OF MISSISSIPPI

Practice address

266 Katherine Dr
Flowood, MS 39232-8801

Phone

(601) 420-3223

Fax

(601) 420-3054

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Nichols, DMD, MD

Title

President

Phone

(601) 420-3223

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nichols Outpatient Facial Surgery

  • Ambulatory Surgical Clinic/Center
  • Flowood, MS
  • NPI 1386104685
  NPPES parent name

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1851543250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 KATHERINE DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328801",
            "telephone_number": "601-420-3223",
            "fax_number": "601-420-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 KATHERINE DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328801",
            "telephone_number": "601-420-3223",
            "fax_number": "601-420-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND FACIAL SURGERY OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-420-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "OS34000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• On-Site Health LLC
• Chike Benedict Onyali, M.D.
• Alexandra Ifediche Onyejiaka
• Open MRI Jackson Radiology PLLC
• Open MRI of Jackson, LLC
• Joseph Griffin Orr, CRNA
• Billy Clifton Osbon Jr., R.PH.
• Gregory Lee Osborn, RPH
• Clarence Michael Osborne, MD
• Dale Allan Ostrowski, PA-C

• Oral and Maxillofacial Surgery Clinic/Center in Flowood, MS
• Providers in Flowood, 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 Oct 16, 2008; 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.