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GOODMAN DENTAL
NPI 1174072409
Dentist - General Practice in Olive Branch, MS

Active since September 28, 2016
7271 GOODMAN RD, OLIVE BRANCH, MS 38654(662) 895-4737 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Goodman Dental NPPES

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

GOODMAN DENTAL (NPI 1174072409) is a healthcare organization registered as a general practice in Olive Branch, Mississippi and active in the NPI registry since September 2016. The organization lists Debbie K Shields, Business Office, as its authorized official.

NPPES Registry Identity

NPI1174072409
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOLIVE BRANCH DENTAL GROUP PLLC
Location Address7271 GOODMAN RDOlive Branch, MS 38654-1906
Mailing Address7271 Goodman RdOlive Branch, MS 38654-1906 · (662) 895-4737
Phone(662) 895-4737
Organization SubpartNo
Authorized OfficialDebbie K ShieldsBusiness Office · (662) 840-1535
Enumeration DateSeptember 28, 2016
✔ NPI 1174072409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 233887
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7271 GOODMAN RD, Olive Branch, MS 38654
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Other Names 1

Doing Business AsGoodman Dental

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELEANOR A GILL D.M.D.
Dentist (General Practice)
7271 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 895-4737
GOODMAN ROAD DENTAL PLLC
Dentist
7271 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 895-4737
TIFFANY SHAWNA KING DDS
Dentist
7271 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (901) 861-0031
ERICA MATHIS DDS
Dentist (General Practice)
7271 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 895-4737

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 Olive Branch Dental Group PLLC's NPI number?

The NPI number for Olive Branch Dental Group PLLC is 1174072409. It was assigned to this organization in the NPPES registry on September 28, 2016. The provider is doing business as Goodman Dental.

Where is Olive Branch Dental Group PLLC located?

Olive Branch Dental Group PLLC is located at 7271 Goodman Rd, Olive Branch, MS 38654. The listed phone number is (662) 895-4737.

What is Olive Branch Dental Group PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Olive Branch Dental Group PLLC was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.