Bennett V York (NPI# 1417045386, PAC ID# 5496834939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1417045386 |
| PAC ID by PECOS | 5496834939 |
| Professional Enrollment ID | I20120130000702 |
| Full Name | Bennett V York |
| Organization Legal Name | ORAL AND MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A. |
| Address |
1421 S 28th Avene Hattiesburg MS 39402-3166 |
| Phone Number | 6012647611 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY |
| Graduation Year | 1961 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 2163501602 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250078 | FORREST GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1421 S 28th Avene, Hattiesburg, MS 39402-3166 | 6012647611 | ORAL AND MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A. |
| Organization Legal Name | ORAL AND MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Griffin H West | Oral Surgery | Oral and Maxillofacial Surgery Clinic of South Misssissippi, P.a. | 1421 S 28th Avene, Hattiesburg, MS 39402-3166 |
| Curtis Bishop | Oral Surgery | Oral and Maxillofacial Surgery Clinic of South Misssissippi, P.a. | 1421 S 28th Avene, Hattiesburg, MS 39402-3166 |
| Street Address |
1421 S 28TH AVENE |
| City | HATTIESBURG |
| State | MS |
| Zip | 39402-3166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Griffin H West | Oral Surgery | Oral and Maxillofacial Surgery Clinic of South Misssissippi, P.a. | 1421 S 28th Avene, Hattiesburg, MS 39402-3166 |
| Curtis Bishop | Oral Surgery | Oral and Maxillofacial Surgery Clinic of South Misssissippi, P.a. | 1421 S 28th Avene, Hattiesburg, MS 39402-3166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Cochran | Physical Therapy | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 | |
| Paul E Zeagler | Physical Therapy | Hattieburg Physical Therapy Center | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 |
| Jennifer Stewart | Physical Therapy | Drayer Physical Therapy Institute LLC | 6134 Hwy 98 W, Hattiesburg, MS 39402 |
| Paul M Rocconi | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 5000 W 4th St, Hattiesburg, MS 39402-1000 |
| Volney E Pierce Jr. | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Delia A Smith | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Barbara J Proctor | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Brenda Jordan | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Lynda I Gentchev | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Donald H Gale | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Find all physicians in zip 39402 | |||
| City | HATTIESBURG |
| Zip Code | 39402 |
| Specialty | ORAL SURGERY |
| City + Specialty | HATTIESBURG + ORAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.