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GRENADA DENTAL CLINIC PLLC
NPI 1851886857
Clinic/Center - Dental in Grenada, MS

Active since June 22, 2018
1800 HILL DR STE A, GRENADA, MS 38901(662) 226-1757(662) 307-2709 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grenada Dental Clinic Pllc NPPES

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

GRENADA DENTAL CLINIC PLLC (NPI 1851886857) is a healthcare organization registered as a dental in Grenada, Mississippi and active in the NPI registry since June 2018. The organization lists Olivia K Van Gordon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1851886857
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRENADA DENTAL CLINIC PLLC
Location Address1800 HILL DR STE AGrenada, MS 38901-5071
Mailing Address1800 Hill Dr Ste AGrenada, MS 38901-5071 · (662) 226-1757 · Fax (662) 307-2709
Phone(662) 226-1757
Fax(662) 307-2709
Organization SubpartNo
Authorized OfficialOlivia K Van GordonDentist · (662) 226-1757
Enumeration DateJune 22, 2018
✔ NPI 1851886857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MS · 3934-17
1800 HILL DR STE A, Grenada, MS 38901
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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 Grenada Dental Clinic PLLC's NPI number?

The NPI number for Grenada Dental Clinic PLLC is 1851886857. It was assigned to this organization in the NPPES registry on June 22, 2018.

Where is Grenada Dental Clinic PLLC located?

Grenada Dental Clinic PLLC is located at 1800 Hill Dr Ste A, Grenada, MS 38901. The listed phone number is (662) 226-1757.

What is Grenada Dental Clinic PLLC'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 Grenada Dental Clinic PLLC was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.