Grover Wade Hankins, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1974-82 Issued in MS

Practice address

5647 Highway 80 E
Suite 4
Pearl, MS 39208-8907

Phone

(601) 936-6108

Fax

(601) 936-6109

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G. Wade Hankins Family Dentistry

  • Dentist
  • Pearl, MS
  • NPI 1073766002
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891864088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 HIGHWAY 80 E",
            "address_2": "SUITE 4",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088907",
            "telephone_number": "601-936-6108",
            "fax_number": "601-936-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 HIGHWAY 80 E",
            "address_2": "SUITE 4",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088907",
            "telephone_number": "601-936-6108",
            "fax_number": "601-936-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "GROVER",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1974-82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Harrell, LCSW
• Wanda Raquel Harris, LPC

• General Practice Dentistry in Pearl, MS
• Providers in Pearl, 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.