OrganizationActive
Grenada Dental Clinic PLLC
NPI 1851886857 · Dental Clinic/Center · Grenada, MS
Grenada Dental Clinic PLLC is a Dental Clinic/Center organization in Grenada, MS (NPI 1851886857).
Provider details
- NPI number
- 1851886857
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olivia Van Gordon, Dentist(662) 226-1757
- License
- 3934-17 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1800 Hill Dr Ste a
Grenada, MS 38901-5071
Phone: (662) 226-1757
Fax: (662) 307-2709
Street-level locationGet directions
Mailing address
1800 Hill Dr Ste a
Grenada, MS 38901-5071
Registry dates
- Enumerated
- 2018-06-22
- Last updated
- 2018-06-22
Frequently asked questions
- What is Grenada Dental Clinic PLLC's NPI number?
- Grenada Dental Clinic PLLC's National Provider Identifier (NPI) is 1851886857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grenada Dental Clinic PLLC?
- Grenada Dental Clinic PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grenada Dental Clinic PLLC located?
- Grenada Dental Clinic PLLC's practice location on file with NPPES is 1800 Hill Dr Ste a, Grenada, MS 38901-5071.
- What is Grenada Dental Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grenada Dental Clinic PLLC is (662) 226-1757.
- Who is the authorized official for Grenada Dental Clinic PLLC?
- The authorized official listed on Grenada Dental Clinic PLLC's NPPES record is Olivia Van Gordon, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grenada Dental Clinic PLLC's NPI active?
- Yes — Grenada Dental Clinic PLLC's NPI (1851886857) is active in the NPPES registry as of the last update on 2018-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.