Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

OLIVIA PORTER GORDON
NPI 1366374985
Dentist - General Practice in Louisville, MS

Active since May 29, 2026
16690 E MAIN ST, LOUISVILLE, MS 39339(662) 773-4222 Get Directions Write a Review

NPPES record added: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olivia Porter Gordon NPPES

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

OLIVIA PORTER GORDON (NPI 1366374985) is an individual general practice provider in Louisville, Mississippi, licensed in Mississippi (112695) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1366374985
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameOLIVIA PORTER GORDON
Location Address16690 E MAIN STLouisville, MS 39339-2750
Mailing Address16690 E Main StLouisville, MS 39339-2750 · (662) 773-4222
Sole ProprietorYes
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
NPI 1366374985 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 · 112695
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.
16690 E MAIN ST, Louisville, MS 39339

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.

Clinic/Center (Dental)
16690 E MAIN ST
LOUISVILLE, MS 39339
Dentist (General Practice)
16690 E MAIN ST
LOUISVILLE, MS 39339

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 Olivia Gordon's NPI number?

The NPI number for Olivia Gordon is 1366374985. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Where is Olivia Gordon located?

Olivia Gordon practices at 16690 E Main St, Louisville, MS 39339. The listed phone number is (662) 773-4222.

What is Olivia Gordon'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 Olivia Gordon was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.