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JOHNTRE L GOUDY DMD
NPI 1407691363
Dentist in Gulfport, MS

Active since July 01, 2024
412 SECURITY SQ, GULFPORT, MS 39507(228) 234-6321(228) 896-6322 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Johntre L Goudy Dmd NPPES

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

JOHNTRE L GOUDY DMD (NPI 1407691363) is an individual dentist in Gulfport, Mississippi, licensed in Mississippi (4469-24) and active in the NPI registry since July 2024. He maintains a secondary practice location in Biloxi.

NPPES Registry Identity

NPI1407691363
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHNTRE L GOUDYCredential: DMD
Location Address412 SECURITY SQGulfport, MS 39507-1952
Mailing Address412 Security SqGulfport, MS 39507-1952 · (228) 896-6321 · Fax (228) 896-6322
Phone(228) 234-6321
Fax(228) 896-6322
Sole ProprietorYes
Enumeration DateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1407691363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · 4469-24
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.
412 SECURITY SQ, Gulfport, MS 39507
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Secondary Practice Location 1

Location 11025 Division St Ste FBiloxi, MS 39530-2910 · Phone (228) 432-5222 · Fax (228) 432-5223

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

ANNA KATHRYN ASHLEY ANDY DDS
Dentist
412 SECURITY SQ
GULFPORT, MS 39507
Harrison County (228) 896-6321
SYDNEY STEWART DAVIS DMD
Dentist
412 SECURITY SQ
GULFPORT, MS 39507
Harrison County (205) 934-3387
DR. JASON CHRISTOPHER PAPANIA DMD
Dentist (General Practice)
412 SECURITY SQ
GULFPORT, MS 39507
Harrison County (228) 896-6321
COMPTON HEALTHCARE INC
Internal Medicine
412 SECURITY SQ
GULFPORT, MS 39507
Harrison County (228) 896-6640
AUBREY OLIVIA HOLLAND DMD
Dentist
412 SECURITY SQ
GULFPORT, MS 39507
Harrison County (228) 896-6321
PFD LLC
Dentist
412 SECURITY SQ
GULFPORT, MS 39507
Harrison County (228) 896-6321
DR. HOLLY RAYMOND DMD
Dentist
412 SECURITY SQ
GULFPORT, MS 39507
Harrison County (228) 896-6321

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 Johntre Goudy's NPI number?

The NPI number for Johntre Goudy is 1407691363. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Johntre Goudy located?

Johntre Goudy practices at 412 Security Sq, Gulfport, MS 39507. The listed phone number is (228) 234-6321.

What is Johntre Goudy's specialty?

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

What insurance does Johntre Goudy accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 11 other insurers list Johntre Goudy 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 Johntre Goudy was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.