Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elite Practice Management

Organization Dentist · NPI 1124630462

Elite Practice Management provides Dentist services in Olive Branch, Mississippi. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

7185 Crape Myrtle Dr
Olive Branch, MS 38654-1971
Phone: (662) 314-3585
Fax: (662) 346-5438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1124630462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Avant — Practice Manager · (662) 314-3585
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971

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