Healthcare Provider Details

I. General information

NPI: 1407781727
Provider Name (Legal Business Name): JAMES LADD GARNER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1667 HWY 49 S #6
MAGEE MS
39111
US

IV. Provider business mailing address

1667 HWY 49 S #6
MAGEE MS
39111
US

V. Phone/Fax

Practice location:
  • Phone: 601-842-5010
  • Fax:
Mailing address:
  • Phone: 601-842-5010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112680
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: