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

Vicksburg Family Dental

Organization General Practice Dentistry · NPI 1235497108

Vicksburg Family Dental is a General Practice Dentistry in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012

Practice location Address checks out

1212 Mission 66
Vicksburg, MS 39183
Phone: (601) 636-5321
Fax: (601) 883-2366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1235497108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Garner — Owner/Dentist · (601) 636-5321
NPI enumeratedApril 30, 2012
Last updated in NPPESApril 30, 2012
Mailing address1212 Mission 66, Vicksburg, MS 39183-3137

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