Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dental Group of Ellisville, PLLC

Organization General Practice Dentistry · NPI 1972851814

Dental Group of Ellisville, PLLC provides 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
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 2940-96 (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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