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

Lifetime Dental LLC

Organization Dentist · NPI 1679024442

Lifetime Dental LLC is a Dentist in Greenwood, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

910 Medallion Dr
Greenwood, MS 38930-2118
Phone: (662) 843-8353
Fax: (662) 843-8363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2826-94 (MS)

Record details

NPI number1679024442
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJohnson Dental Clinic Inc
Authorized official Daryl Johnson — Sole Proprietor · (662) 843-8353
NPI enumeratedOctober 17, 2016
Last updated in NPPESOctober 17, 2016
Mailing address1313 W Highway 8, Cleveland, MS 38732-2240

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