Vicksburg Orthodontics LLC
NPI 1619370012 · Orthodontics and Dentofacial Orthopedics Dentistry · Vicksburg, MS
Vicksburg Orthodontics LLC is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Vicksburg, MS (NPI 1619370012).
Provider details
- NPI number
- 1619370012
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lake Garner, Owner(601) 271-8710
- License
- 2940-96 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-30
- Last updated
- 2014-09-30
Frequently asked questions
- What is Vicksburg Orthodontics LLC's NPI number?
- Vicksburg Orthodontics LLC's National Provider Identifier (NPI) is 1619370012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vicksburg Orthodontics LLC?
- Vicksburg Orthodontics LLC is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Vicksburg Orthodontics LLC located?
- Vicksburg Orthodontics LLC's practice location on file with NPPES is 1909a Mission 66, Vicksburg, MS 39180-3711.
- What is Vicksburg Orthodontics LLC's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Orthodontics LLC is (601) 271-8710.
- Who is the authorized official for Vicksburg Orthodontics LLC?
- The authorized official listed on Vicksburg Orthodontics LLC's NPPES record is Lake Garner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vicksburg Orthodontics LLC's NPI active?
- Yes — Vicksburg Orthodontics LLC's NPI (1619370012) is active in the NPPES registry as of the last update on 2014-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.