Terrace Hill Dental Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1771.77 Issued in MS

Legal business name

TERRACE HILL DENTAL CENTER LLC

Practice address

6654 U S Highway 98
Hattiesburg, MS 39402-7936

Phone

(601) 264-5756

Fax

(601) 264-5013

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Felder E Wallace, DDS

Title

Dentist/Co-Owner

Phone

(601) 264-5756

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Strong Henderson IV, D.M.D.

  • Dentist
  • Hattiesburg, MS
  • NPI 1194932608
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1679580518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027936",
            "telephone_number": "601-264-5756",
            "fax_number": "601-264-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027936",
            "telephone_number": "601-264-5756",
            "fax_number": "601-264-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE HILL DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "FELDER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST/CO-OWNER",
        "authorized_official_telephone_number": "601-264-5756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1771.77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE NUMBER",
            "identifier": "1771-77",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Taylor
• Shawn Austin Taylor, DNP, CRNA
• William Taylor, LPC
• Ted Harden OD PLLC
• Nezihi E Tengiz, MD
• Danyella Terrell, LCSW
• Barry W. Tewis, O. D.
• Gwendolyn Thaggard
• Clay Barton Thames, DDS
• Cynthia Lee Thames, MD

• General Practice Dentistry in Hattiesburg, MS
• Providers in Hattiesburg, 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 Oct 2, 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.