Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Reed Sobiesk

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1801416219

Evan Reed Sobiesk is an Oral Surgery in Hattiesburg, Mississippi. Qualified in 2024, 2 years ago. Practices with Oral and Maxillofacial Surgery Clinic of South Misssissippi, PA, a 4-clinician group. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1421 S 28th Ave
Hattiesburg, MS 39402-3108
Phone: (601) 264-7611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4160-20 (MS)
Dentist Taxonomy 122300000X · Licence 4160-20 (MS)

Record details

NPI number1801416219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2020
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Oral And Maxillofacial Surgery Clinic Of South Misssissippi, P.A. — 4 clinicians
Accepts Medicare assignment Not indicated

Other providers in Hattiesburg