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

Grenada Dental Clinic PLLC

Organization Dental Clinic/Center · NPI 1851886857

Grenada Dental Clinic PLLC is a Dental Clinic/Center in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Hill Dr Ste A
Grenada, MS 38901-5071
Phone: (662) 226-1757
Fax: (662) 307-2709
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 3934-17 (MS)

Record details

NPI number1851886857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olivia Van Gordon — Dentist · (662) 226-1757
NPI enumeratedJune 22, 2018
Last updated in NPPESJune 22, 2018
Mailing address1800 Hill Dr Ste A, Grenada, MS 38901-5071

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