Active NPI
Dental Group of Magee PLLC
- Dentist
- Magee, MS
National Provider Identifier
1053707083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 294096
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.