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PARK PLACE DENTAL IUKA
NPI 1982848446
Dentist - General Practice in Iuka, MS

Active since April 28, 2009
915 BATTLEGROUND DR, IUKA, MS 38852(662) 660-7142(662) 660-7145 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Place Dental Iuka NPPES

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

PARK PLACE DENTAL IUKA (NPI 1982848446) is a healthcare organization registered as a general practice in Iuka, Mississippi and active in the NPI registry since April 2009. The organization lists Gerry Bowen Green, Partner, as its authorized official.

NPPES Registry Identity

NPI1982848446
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGOODWIN & GREEN DENTISTRY PARTNERSHIP
Location Address915 BATTLEGROUND DRIuka, MS 38852-1320
Mailing Address915 Battleground DrIuka, MS 38852-1320 · (662) 660-7142 · Fax (662) 660-7145
Phone(662) 660-7142
Fax(662) 660-7145
Organization SubpartNo
Authorized OfficialGerry Bowen GreenPartner · (662) 660-7142
Enumeration DateApril 28, 2009
✔ NPI 1982848446 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 · 3373-06
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.

915 BATTLEGROUND DR, Iuka, MS 38852
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Other Names 1

Doing Business AsPark Place Dental Iuka

Other Identifiers 4

Medicaid01234014MS
Medicaid05973097MS
Medicaid00064011MS
Medicaid03253066MS

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

Other Providers at the Same Location NPPES

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

IUKA FAMILY DENTAL, PLLC
Clinic/Center (Dental)
915 BATTLEGROUND DR
IUKA, MS 38852
Tishomingo County (662) 424-0307

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 Goodwin & Green Dentistry Partnership's NPI number?

The NPI number for Goodwin & Green Dentistry Partnership is 1982848446. It was assigned to this organization in the NPPES registry on April 28, 2009. The provider is doing business as Park Place Dental Iuka.

Where is Goodwin & Green Dentistry Partnership located?

Goodwin & Green Dentistry Partnership is located at 915 Battleground Dr, Iuka, MS 38852. The listed phone number is (662) 660-7142.

What is Goodwin & Green Dentistry Partnership'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 Goodwin & Green Dentistry Partnership was last updated on April 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.