GOODMAN ROAD DENTAL PLLC
NPI 1265090443
Dentist in Olive Branch, MS

Q: What is Goodman Road Dental PLLC's NPI number?

The NPI number for Goodman Road Dental PLLC is 1265090443. It was assigned to this organization in the NPPES registry on June 3, 2019.

Q: What is Goodman Road Dental PLLC's specialty?

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

Active since June 03, 2019

7271 GOODMAN RD, OLIVE BRANCH, MS 38654(662) 895-4737(662) 893-3239 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Goodman Road Dental Pllc NPPES

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

GOODMAN ROAD DENTAL PLLC (NPI 1265090443) is a healthcare organization registered as a dentist in Olive Branch, Mississippi and active in the NPI registry since June 2019. The organization lists Max S. Breazeal, Owner, as its authorized official.

NPPES Registry Identity

NPI1265090443

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGOODMAN ROAD DENTAL PLLC

Location Address7271 GOODMAN RDOlive Branch, MS 38654-1906

Mailing Address7271 Goodman RdOlive Branch, MS 38654-1906 · (662) 895-4737 · Fax (662) 893-3239

Phone(662) 895-4737

Fax(662) 893-3239

Organization SubpartNo

Authorized OfficialMax S. BreazealOwner · (901) 861-0031

Enumeration DateJune 3, 2019

✔ NPI 1265090443 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.

7271 GOODMAN RD, Olive Branch, MS 38654

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Other Names 1

Doing Business AsGoodman Road Dental Pllc

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

OLIVE BRANCH DENTAL GROUP PLLC

Dentist (General Practice)

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 Goodman Road Dental PLLC's NPI number?

The NPI number for Goodman Road Dental PLLC is 1265090443. It was assigned to this organization in the NPPES registry on June 3, 2019.

Where is Goodman Road Dental PLLC located?

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

What is Goodman Road Dental PLLC'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 Goodman Road Dental PLLC was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.