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PROF. CLYDE ARMSTRONG MUSGRAVE D.M.D.
NPI 1194825299
Dentist - Pediatric Dentistry in Southaven, MS

Active since September 25, 2006
3964 GOODMAN RD E STE 128, SOUTHAVEN, MS 38672(662) 893-7337(662) 893-7881 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Clyde Armstrong Musgrave D.m.d. NPPES

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

PROF. CLYDE ARMSTRONG MUSGRAVE D.M.D. (NPI 1194825299) is an individual pediatric dentistry provider in Southaven, Mississippi, licensed in Mississippi (3136-00) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1194825299
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NamePROF. CLYDE ARMSTRONG MUSGRAVECredential: D.M.D.
Location Address3964 GOODMAN RD E STE 128Southaven, MS 38672-6494
Mailing Address2925 Nail Rd E, Suite 103Southaven, MS 38672-6620 · (662) 893-7337 · Fax (662) 893-7881
Phone(662) 893-7337
Fax(662) 893-7881
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 8, 2013
✔ NPI 1194825299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · 3136-00
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3964 GOODMAN RD E STE 128, Southaven, MS 38672
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Other Identifiers 1

Medicaid00660434MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO, Humana.Insurance ›

Other Providers at the Same Location NPPES 2

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

DANA TIDMORE FNP-C
Nurse Practitioner (Family)
3964 GOODMAN RD E STE 128
SOUTHAVEN, MS 38672
Desoto County (622) 655-0456
MAYS MEDICAL WELLNESS, LLC
Clinic/Center (Primary Care)
3964 GOODMAN RD E STE 128
SOUTHAVEN, MS 38672
Desoto County (662) 655-0456

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 Clyde Musgrave's NPI number?

The NPI number for Clyde Musgrave is 1194825299. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Clyde Musgrave located?

Clyde Musgrave practices at 3964 Goodman Rd E Ste 128, Southaven, MS 38672. The listed phone number is (662) 893-7337.

What is Clyde Musgrave's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Clyde Musgrave accept?

Health plans from Delta Dental PPO and Humana list Clyde Musgrave as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clyde Musgrave was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.