Vicksburg Orthodontics Llc is a Orthodontics and Dentofacial Clinic in Vicksburg, Mississippi. It is located at 1909a Mission 66, Vicksburg, MS and its contact number is 601-271-8710. The authorized person for Vicksburg Orthodontics Llc is Dr. Lake Garner
who is Owner of the clinic and their contact number is 601-271-8710. The primary license number for Vicksburg Orthodontics Llc is 2940-96 (Orthodontics and Dentofacial Orthopedics) in Mississippi.
Vicksburg Orthodontics Llc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Vicksburg Orthodontics Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Vicksburg Orthodontics Llc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 1909a Mission 66, Vicksburg,
Mississippi, 39180-3711 |
| Phone: | 601-271-8710 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Lake Garner |
| Position: | Owner |
| Contact Number: | 601-271-8710 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Vicksburg Orthodontics Llc clinic are as mentioned below.
| NPI Number: | 1619370012 |
| NPI Enumeration Date: | 30 Sep, 2014 |
| NPI Last Update On: | 30 Sep, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vicksburg Orthodontics Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 2940-96 | Mississippi | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Vicksburg Orthodontics Llc
25 Shears Rd,
Hattiesburg, Mississippi |
| Zip: | 39402-8849 |
| Phone Number: | -- |
Patients can reach Vicksburg Orthodontics Llc at
1909a Mission 66, Vicksburg, Mississippi or can
call to book an appointment on 601-271-8710.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.