Van Meter Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

OS-466-13 Issued in MS

Legal business name

VAN METER ORAL SURGERY, LLC

Practice address

300 Maxey Dr
Brandon, MS 39042-2576

Phone

(601) 825-0021

Fax

(601) 825-0081

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Jackson Van Meter III, DMD, MD

Title

Oral Surgeon

Phone

(601) 825-0021

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1851725816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAXEY DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422576",
            "telephone_number": "601-825-0021",
            "fax_number": "601-825-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAXEY DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422576",
            "telephone_number": "601-825-0021",
            "fax_number": "601-825-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN METER ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "601-825-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "OS-466-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Wayne Tutor Jr., D.M.D.
• Will Umphlett, DMD
• Unified Prosthetics and Orthotics, LLC.
• Gracie A Upton
• Macy Renee Upton, NP
• Charles Jackson Van Meter III, DMD, MD
• Karen M Van Tassel, M.D.
• Keturah Michelle Vannorman, M.D.
• Chele Ann Veach, M.D.
• VP Solutions LLC

• Oral and Maxillofacial Surgery (Dentist) in Brandon, MS
• Providers in Brandon, 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 27, 2013; 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.