Vicksburg Orthodontics LLC
NPI #1619370012 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1619370012
- Entity Type
- Organization
- Organization Name
- Vicksburg Orthodontics LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Sep 30, 2014
- Last Updated
- Sep 30, 2014
Practice Location
- Address
- 1909A MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3711
- Phone
- (601) 271-8710
Authorized Official
- Name
- DR. LAKE GARNER
- Title
- OWNER
- Phone
- (601) 271-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| MR. Charles Glenn Taylor, D.D.S, M.S. | |
| DR. Robert Michael Coleman, D.D.S., M.S. |
Organizations
| Provider Name | |
|---|---|
| Delta Orthodontic Specialists LLC | |
| Edward Brown Specialty Partners of Mississippi, Pllc Part of Edward Brown Specialty Partners of Mississippi, Pllc | |
| Drs. Coleman and Taylor, D.d.s., M.s. |
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