Thomas Grafton Teets, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2984-97 Issued in MS

Practice address

2628 Executive PL
Suite C
Biloxi, MS 39531-3717

Phone

(228) 388-7844

Fax

(228) 388-7836

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1598846842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 EXECUTIVE PL",
            "address_2": "SUITE C",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313717",
            "telephone_number": "228-388-7844",
            "fax_number": "228-388-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 EXECUTIVE PL",
            "address_2": "SUITE C",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313717",
            "telephone_number": "228-388-7844",
            "fax_number": "228-388-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETS",
        "first_name": "THOMAS",
        "middle_name": "GRAFTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2984-97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "720581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Terry C. Smith, M.D., PA

• General Practice Dentistry in Biloxi, MS
• Providers in Biloxi, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.