Dental Group of Ellisville, Pllc
NPI #1972851814 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1972851814
- Entity Type
- Organization
- Organization Name
- Dental Group of Ellisville, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 27, 2012
- Last Updated
- Mar 18, 2019
Practice Location
- Address
- 97 HAL CROCKER ROAD
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437
- Phone
- (601) 477-3779
Authorized Official
- Name
- TERRY LAKE GARNER, DMD
- Title
- OWNER
- Phone
- (601) 271-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Alecia A Moore, DMD |  AI Deep Dive |
| Stephen L Surber, DMD | AI Deep Dive |
| DR. Frank O. Winn, D.D.S. | AI Deep Dive |
| DR. Gene Mark Baines, D.M.D. | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Ellisville Family Dental Center PA | AI Deep Dive |
Want to research this healthcare provider further?