IndividualActive
Johntre Goudy, DMD
NPI 1407691363 · Dentist · Gulfport, MS
Johntre Goudy, DMD is a Dentist provider in Gulfport, MS (NPI 1407691363).
Provider details
- NPI number
- 1407691363
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4469-24 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
412 Security Sq
Gulfport, MS 39507-1952
Phone: (228) 234-6321
Fax: (228) 896-6322
Street-level locationGet directions
Mailing address
412 Security Sq
Gulfport, MS 39507-1952
Additional practice locations (1)
- 1025 Division St Ste FBiloxi, MS 39530-2910Phone: (228) 432-5222Fax: (228) 432-5223
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Frequently asked questions
- What is Johntre Goudy's NPI number?
- Johntre Goudy's National Provider Identifier (NPI) is 1407691363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johntre Goudy's specialty?
- Johntre Goudy is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Johntre Goudy located?
- Johntre Goudy's practice location on file with NPPES is 412 Security Sq, Gulfport, MS 39507-1952.
- What is Johntre Goudy's phone number?
- The practice phone number listed in the NPPES registry for Johntre Goudy is (228) 234-6321.
- Is Johntre Goudy's NPI active?
- Yes — Johntre Goudy's NPI (1407691363) is active in the NPPES registry as of the last update on 2024-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.