Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dental Group of Ellisville, PLLC

Organization General Practice Dentistry · NPI 1972851814

Dental Group of Ellisville, PLLC is a General Practice Dentistry in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

97 Hal Crocker Rd
Ellisville, MS 39437
Phone: (601) 477-3779
Fax: (601) 477-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2940-96 (MS)

Record details

NPI number1972851814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Garner — Owner · (601) 271-8710
NPI enumeratedAugust 27, 2012
Last updated in NPPESMarch 18, 2019
Mailing address97 Hal Crocker Road, Ellisville, MS 39437

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