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Nettleton Dental LLC — NPI 1780303677, Nettleton, MS | NPI Central

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NPI 1780303677

OrganizationActive

Nettleton Dental LLC

NPI 1780303677 · Dental Clinic/Center · Nettleton, MS

Provider details

NPI number: 1780303677
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Ambrie Goodman, Dentist(662) 571-8760

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

228 Main St

Nettleton, MS 38858-6012

Phone: (662) 963-7338

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

228 Main St

Nettleton, MS 38858-6012

Registry dates

Enumerated: 2022-08-24
Last updated: 2022-08-24
Certified: 2022-08-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.