1. Home
  2. Directory
  3. Mississippi
  4. Nettleton
  5. Clinic Center
  6. NPI Profile

NETTLETON DENTAL LLC
NPI 1780303677
Clinic/Center - Dental in Nettleton, MS

Active since August 24, 2022
228 MAIN ST, NETTLETON, MS 38858(662) 963-7338 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nettleton Dental Llc NPPES

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

NETTLETON DENTAL LLC (NPI 1780303677) is a healthcare organization registered as a dental in Nettleton, Mississippi and active in the NPI registry since August 2022. The organization lists Ambrie Goodman, Dentist, as its authorized official.

NPPES Registry Identity

NPI1780303677
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNETTLETON DENTAL LLC
Location Address228 MAIN STNettleton, MS 38858-6012
Mailing Address228 Main StNettleton, MS 38858-6012 · (662) 963-7338
Phone(662) 963-7338
Organization SubpartNo
Authorized OfficialAmbrie GoodmanDentist · (662) 571-8760
Enumeration DateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1780303677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
228 MAIN ST, Nettleton, MS 38858
Open in Google Maps ↗

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 Nettleton Dental LLC's NPI number?

The NPI number for Nettleton Dental LLC is 1780303677. It was assigned to this organization in the NPPES registry on August 24, 2022.

Where is Nettleton Dental LLC located?

Nettleton Dental LLC is located at 228 Main St, Nettleton, MS 38858. The listed phone number is (662) 963-7338.

What is Nettleton Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Nettleton Dental LLC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.