Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Practice Management

Organization Dentist · NPI 1124630462

Elite Practice Management is a Dentist 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
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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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