Vicksburg Family Dental 61n
NPI 1649626573ActiveOrganization· Dentist, General Practice· Vicksburg, MS
Dentist, General Practice in Vicksburg, Mississippi, registered in NPPES in May 2016. The authorized official on file is Terry Lake Garner, DMD, Owner.
Overview
| NPI | 1649626573 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2016 |
| Last updated in NPPES | May 10, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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