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VICKSBURG FAMILY DENTAL
NPI 1235497108
Dentist - General Practice in Vicksburg, MS

Active since April 30, 2012
1212 MISSION 66, VICKSBURG, MS 39183(601) 636-5321(601) 883-2366 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Vicksburg Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKSBURG FAMILY DENTAL (NPI 1235497108) is a healthcare organization registered as a general practice in Vicksburg, Mississippi and active in the NPI registry since April 2012. The organization lists Terry Lake Garner, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1235497108
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVICKSBURG FAMILY DENTAL
Location Address1212 MISSION 66Vicksburg, MS 39183
Mailing Address1212 Mission 66Vicksburg, MS 39183-3137 · (601) 636-5321 · Fax (601) 883-2366
Phone(601) 636-5321
Fax(601) 883-2366
Organization SubpartNo
Authorized OfficialTerry Lake GarnerOwner/dentist · (601) 636-5321
Enumeration DateApril 30, 2012
✔ NPI 1235497108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 2940-96MS
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1212 MISSION 66, Vicksburg, MS 39183
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET S FISHER DMD PA
Dentist
1212 MISSION 66
VICKSBURG, MS 39183
Warren County (601) 636-5321
DR. MARGARET ELLZEY-NICHOLS D.M.D
Dentist (General Practice)
1212 MISSION 66
VICKSBURG, MS 39183
Warren County (601) 636-5321
DR. JANET S FISHER DMD
Dentist
1212 MISSION 66
VICKSBURG, MS 39183
Warren County (601) 636-5321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vicksburg Family Dental's NPI number?

The NPI number for Vicksburg Family Dental is 1235497108. It was assigned to this organization in the NPPES registry on April 30, 2012.

Where is Vicksburg Family Dental located?

Vicksburg Family Dental is located at 1212 Mission 66, Vicksburg, MS 39183. The listed phone number is (601) 636-5321.

What is Vicksburg Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Vicksburg Family Dental was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.