Organization Active NPI

Dental Solutions of Clinton, PLLC

  • Dentist
  • Clinton, MS
National Provider Identifier
1508268087
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2940 Issued in MS
Legal business name
DENTAL SOLUTIONS OF CLINTON, PLLC
Practice address
315 Morrison Dr
Clinton, MS 39056-5239
Phone
(601) 925-5163
Fax
(601) 925-5184
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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) 925-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2940 MS Primary

Addresses

Primary practice location

315 Morrison Dr
Clinton, MS 39056-5239

Mailing address

315 Morrison Dr
Clinton, MS 39056-5239
Phone (601) 925-5163

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1508268087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MORRISON DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565239",
            "telephone_number": "601-925-5163",
            "fax_number": "601-925-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MORRISON DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565239",
            "telephone_number": "601-925-5163",
            "fax_number": "601-925-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SOLUTIONS OF CLINTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "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": "601-925-5163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.