Elizabeth C Arwile Wakham, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2138-85 Issued in MS

Practice address

150 G E Ohr St
Biloxi, MS 39530-4228

Phone

(228) 432-7027

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elizabeth Carwile Eustice Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679788087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 MILL CIR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642934",
            "telephone_number": "228-875-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 G E OHR ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304228",
            "telephone_number": "228-432-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKHAM",
        "first_name": "ELIZABETH",
        "middle_name": "C ARWILE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2138-85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EUSTICE",
            "middle_name": "CARWILE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leah Thi Vo-Babin
• Katryna Vo
• Phong Thanh Vu
• Chad Lowell Wagner, DDS
• Marion Jean Wainwright, MD
• Marlon Dean Wakham, D.M.D.
• Wal-Mart Stores East LP (Wal-Mart Vision Center 30-1088)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4586)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-6849)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1088)

• 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 Jul 8, 2007; 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.