Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA MCDANIEL VAN GORDON
Active Sole ProprietorOLIVIA MCDANIEL VAN GORDON is a General Dentistry healthcare provider located in GRENADA, Mississippi. NPI 1598285538 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GRENADA, MS
Registration Details
- NPI Number
- 1598285538
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2017 (9.1205417732811 yrs)
- Last Updated
- Jul 21, 2022
- License
-
3934-17 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 F S HILL DR STE AGRENADA, MS, 389015071Browse MS providers · Browse ZIP 38901
- Phone
- 6622261757
- Fax
- 6623072709
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GRENADA, MS
| Name | Credential | NPI |
|---|---|---|
| DR. ESAIAS STEVEN RICHARDSON | D.D.S. | 1518981844 |
| DR. DAVID RAY BRASWELL | — | 1154422590 |
| DR. DAVID RAY BASINGER JR. | DMD | 1275673592 |
| DR. GEORGE TERRANCE MOODY | D.M.D. | 1992835151 |
| DR. JAMES R PHILLEY | DMD | 1467572206 |
| DR. BENJAMIN EDWARD DEHART | D.M.D. | 1427336312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.