Gautier Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GAUTIER FAMILY DENTAL

Practice address

2808 Highway 90 Ste 1
Gautier, MS 39553-5169

Phone

(228) 497-2424

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Owner

Phone

(601) 271-8710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1477092294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 LINCOLN ROAD EXT STE 20",
            "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": "2808 HIGHWAY 90 STE 1",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535169",
            "telephone_number": "228-497-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTIER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-271-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Elizabeth Gates
• Alicia Gatz
• Gautier Chiropractic Group
• Gautier Dental Center P.a.
• Gautier Family Clinic, LLC
• Gautier Wellness LLC
• Debra S Gautier, RN
• Constance D. George, THERAPIST BA
• Courtney Jerthel Gibbs
• Stacie Janelle Gilner, BS

• Dentist in Gautier, MS
• Providers in Gautier, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.