ELITE PRACTICE MANAGEMENT
NPI 1124630462
Dentist in Olive Branch, MS

Q: What is Elite Practice Management's NPI number?

The NPI number for Elite Practice Management is 1124630462. It was assigned to this organization in the NPPES registry on August 18, 2020.

Q: What is Elite Practice Management's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 18, 2020

7185 CRAPE MYRTLE DR, OLIVE BRANCH, MS 38654(662) 314-3585(662) 346-5438 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elite Practice Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE PRACTICE MANAGEMENT (NPI 1124630462) is a healthcare organization registered as a dentist in Olive Branch, Mississippi and active in the NPI registry since August 2020. The organization lists Kimberly Avant, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1124630462

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameELITE PRACTICE MANAGEMENT

Location Address7185 CRAPE MYRTLE DROlive Branch, MS 38654-1971

Mailing Address7185 Crape Myrtle DrOlive Branch, MS 38654-1971

Phone(662) 314-3585

Fax(662) 346-5438

Organization SubpartNo

Authorized OfficialKimberly AvantPractice Manager · (662) 314-3585

Enumeration DateAugust 18, 2020

NPPES CertifiedAugust 18, 2020

✔ NPI 1124630462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7185 CRAPE MYRTLE DR, Olive Branch, MS 38654

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Practice Management's NPI number?

The NPI number for Elite Practice Management is 1124630462. It was assigned to this organization in the NPPES registry on August 18, 2020.

Where is Elite Practice Management located?

Elite Practice Management is located at 7185 Crape Myrtle Dr, Olive Branch, MS 38654. The listed phone number is (662) 314-3585.

What is Elite Practice Management's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Elite Practice Management was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.