Mississippi Orofacial Pain - Medicare Dental Clinic in Ridgeland, MS

Mississippi Orofacial Pain is a medicare enrolled dental clinic (Dentist - Orofacial Pain) in Ridgeland, Mississippi. The current practice location for Mississippi Orofacial Pain is 108 S Maple St Ste C, Ridgeland, Mississippi. For appointments, you can reach them via phone at (601) 720-7662. The mailing address for Mississippi Orofacial Pain is 108 S Maple St Ste C, Ridgeland, Mississippi and phone number is (697) 567-2555.

Mississippi Orofacial Pain is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639813454. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 720-7662.

Contact Information

Mississippi Orofacial Pain
108 S Maple St Ste C
Ridgeland
MS 39157-2305
(601) 720-7662
Not Available

Dental Care Clinic Profile

Full NameMississippi Orofacial Pain
SpecialityDentist
Location108 S Maple St Ste C, Ridgeland, Mississippi
Authorized Official Name and PositionPaul Coleman Riley (AUTHORIZED OFFICIAL)
Authorized Official Contact7695672555
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mississippi Orofacial Pain
108 S Maple St Ste C
Ridgeland
MS 39157-2357

Ph: (697) 567-2555
Mississippi Orofacial Pain
108 S Maple St Ste C
Ridgeland
MS 39157-2305

Ph: (601) 720-7662

NPI Details:

NPI Number1639813454
Provider Enumeration Date04/27/2022
Last Update Date12/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3072999325
Medicare Enrollment IDO20230906003568

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Medical Identifiers

Medical identifiers for Mississippi Orofacial Pain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639813454NPI-NPPES
1639813454OtherMSLOCATION NPI
1285640383OtherMSPROVIDER NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X2210XDentist - Orofacial Pain (* (Not Available))Primary
261QD0000XClinic/center - Dental (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mississippi Orofacial Pain acts as a billing entity for following providers:
Provider NamePaul Riley
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1285640383
PECOS PAC ID: 8325418437
Enrollment ID: I20230106000949

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