OrganizationActive
Elite Practice Management
NPI 1124630462 · Dentist · Olive Branch, MS
Elite Practice Management is a Dentist organization in Olive Branch, MS (NPI 1124630462).
Provider details
- NPI number
- 1124630462
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kimberly Avant, Practice Manager(662) 314-3585
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7185 Crape Myrtle Dr
Olive Branch, MS 38654-1971
Phone: (662) 314-3585
Fax: (662) 346-5438
Street-level locationGet directions
Mailing address
7185 Crape Myrtle Dr
Olive Branch, MS 38654-1971
Registry dates
- Enumerated
- 2020-08-18
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Frequently asked questions
- What is Elite Practice Management's NPI number?
- Elite Practice Management's National Provider Identifier (NPI) is 1124630462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Practice Management?
- Elite Practice Management is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Elite Practice Management located?
- Elite Practice Management's practice location on file with NPPES is 7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971.
- What is Elite Practice Management's phone number?
- The practice phone number listed in the NPPES registry for Elite Practice Management is (662) 314-3585.
- Who is the authorized official for Elite Practice Management?
- The authorized official listed on Elite Practice Management's NPPES record is Kimberly Avant, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Practice Management's NPI active?
- Yes — Elite Practice Management's NPI (1124630462) is active in the NPPES registry as of the last update on 2020-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.