HARBOR VIEW ORAL AND FACIAL SURGERY LLC (NPI# 1063781086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063781086 |
| Entity Type | Organization |
| Organization Name | HARBOR VIEW ORAL AND FACIAL SURGERY LLC |
| Other Organization Name | HARBORVIEW ORAL AND FACIAL SURGERY CENTER |
| Practice Address |
1301 25th Avenue Suite 3 Gulfport MS 39501 |
| Practice Telephone | 2288670121 |
| Practice Fax Number | 2288670252 |
| Mailing Telephone | 2288670121 |
| Mailing Fax Number | 2288670252 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | DR. JASON O ROSETTI (OWNER/PROVIDER) |
| Authorized Official Telephone | 2288670121 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
335805 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03520709 | 05 |
| Other Name | Type Code |
|---|---|
| Harborview Oral and Facial Surgery Center | Doing Business As Name - Organization |
| Street Address |
1301 25TH AVENUE SUITE 3 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689888745 | Jason Oser Rosetti | Dentist | 1301 25th Ave, Ste 3, Gulfport, MS 39501-1932 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1689831125 | Charles Jackson Van Meter IIi | Dentist | 300 Maxey Dr, Brandon, MS 39042-2576 | 2008-05-21 |
| 1457521163 | Dr Richard K Akin | Dentist | 1013 Highway 90, Bay Saint Louis, MS 39520-1524 | 2008-03-10 |
| 1184802084 | Dr. George W. May, Jr., D.m.d | Dentist | 293 E Layfair Dr, Flowood, MS 39232-9527 | 2008-02-04 |
| 1396920252 | Eric Street Lewis | Dentist | 212 Rawls Dr, Mccomb, MS 39648-2870 | 2008-01-09 |
| 1831303858 | Tony Dee Hooker | Dentist | 399 Southcrest Ct Ste A, Southaven, MS 38671-4790 | 2007-05-09 |
| 1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
| 1871719013 | Scott Freland Thames | Dentist | 325 S 13th Ave, Laurel, MS 39440-4342 | 2007-04-17 |
| 1457577686 | Clay Barton Thames | Dentist | 6284 U S Highway 98, Hattiesburg, MS 39402-8531 | 2007-04-17 |
| 1720202153 | Stephen Charles Greer II Dmd | Dentist | 401 Baptist Drive, Suite 207, Madison, MS 39110 | 2007-04-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.