OLIVIA MCDANIEL VAN GORDON
NPI 1598285538
Dentist - General Practice in Grenada, MS

Q: What is Olivia Van Gordon's NPI number?

The NPI number for Olivia Van Gordon is 1598285538. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Olivia Van Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Olivia Van Gordon was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 21, 2017

1800 F S HILL DR STE A, GRENADA, MS 38901(662) 226-1757(662) 307-2709 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

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About Olivia Mcdaniel Van Gordon NPPES

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

OLIVIA MCDANIEL VAN GORDON (NPI 1598285538) is an individual general practice provider in Grenada, Mississippi, licensed in Mississippi (3934-17) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1598285538

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameOLIVIA MCDANIEL VAN GORDON

Location Address1800 F S HILL DR STE AGrenada, MS 38901-5071

Mailing Address1800 F S Hill Dr Ste AGrenada, MS 38901-5071 · (662) 226-1757 · Fax (662) 307-2709

Phone(662) 226-1757

Fax(662) 307-2709

Sole ProprietorYes

Enumeration DateJune 21, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1598285538 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 · 3934-17

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.

1800 F S HILL DR STE A, Grenada, MS 38901

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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

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 Van Gordon's NPI number?

The NPI number for Olivia Van Gordon is 1598285538. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Olivia Van Gordon located?

Olivia Van Gordon practices at 1800 F S Hill Dr Ste A, Grenada, MS 38901. The listed phone number is (662) 226-1757.

What is Olivia Van 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 Van Gordon was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.