Organization Active NPI

Dental Group of Magee PLLC

  • Dentist
  • Magee, MS
National Provider Identifier
1053707083
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
294096 Issued in MS
Legal business name
DENTAL GROUP OF MAGEE PLLC
Practice address
1667 Highway 49S Ste 6
Magee, MS 39111
Phone
(601) 271-8710
NPI assigned
Apr 7, 2015
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Terry Lake Garner, DMD
Title
Member
Phone
(601) 271-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 294096 MS Primary

Addresses

Primary practice location

1667 Highway 49S Ste 6
Magee, MS 39111

Mailing address

4358 Lincoln Road Ext Ste 10
Hattiesburg, MS 39402-3275
Phone (601) 271-8710

National Provider Directory

National Provider Directory

Locations

4358 Lincoln Road Ext
Ste 10
Hattiesburg, MS 39402

1667 Simpson Highway 49
Ste 6
Magee, MS 39111
Phone (601) 842-5010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1053707083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 LINCOLN ROAD EXT STE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023275",
            "telephone_number": "601-271-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 HIGHWAY 49S STE 6",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-271-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF MAGEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LAKE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-271-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "294096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.