OrganizationActive
Goodman Road Dental PLLC
NPI 1265090443 · Dentist · Olive Branch, MS
Provider details
- NPI number
- 1265090443
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Max Breazeal, Owner(901) 861-0031
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
7271 Goodman Rd
Olive Branch, MS 38654-1906
Phone: (662) 895-4737
Fax: (662) 893-3239
Street-level locationGet directions
Mailing address
7271 Goodman Rd
Olive Branch, MS 38654-1906
Other names (DBA / former)
- Doing business as
- Goodman Road Dental PLLC
Registry dates
- Enumerated
- 2019-06-03
- Last updated
- 2019-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.