OrganizationActive
Lifetime Dental LLC
NPI 1679024442 · Dentist · Greenwood, MS
Lifetime Dental LLC is a Dentist organization in Greenwood, MS (NPI 1679024442).
Provider details
- NPI number
- 1679024442
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Johnson Dental Clinic Inc
- Organization subpart
- Yes
- Authorized official
- Daryl Johnson, Sole Proprietor(662) 843-8353
- License
- 2826-94 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
910 Medallion Dr
Greenwood, MS 38930-2118
Phone: (662) 843-8353
Fax: (662) 843-8363
Street-level locationGet directions
Mailing address
1313 W Highway 8
Cleveland, MS 38732-2240
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2016-10-17
Frequently asked questions
- What is Lifetime Dental LLC's NPI number?
- Lifetime Dental LLC's National Provider Identifier (NPI) is 1679024442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Dental LLC?
- Lifetime Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lifetime Dental LLC located?
- Lifetime Dental LLC's practice location on file with NPPES is 910 Medallion Dr, Greenwood, MS 38930-2118.
- What is Lifetime Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifetime Dental LLC is (662) 843-8353.
- Who is the authorized official for Lifetime Dental LLC?
- The authorized official listed on Lifetime Dental LLC's NPPES record is Daryl Johnson, Sole Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetime Dental LLC's NPI active?
- Yes — Lifetime Dental LLC's NPI (1679024442) is active in the NPPES registry as of the last update on 2016-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.