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

Nettleton Dental LLC

Organization Dental Clinic/Center · NPI 1780303677

Nettleton Dental LLC is a Dental Clinic/Center in Nettleton, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

228 Main St
Nettleton, MS 38858-6012
Phone: (662) 963-7338
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1780303677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ambrie Goodman — Dentist · (662) 571-8760
NPI enumeratedAugust 24, 2022
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address228 Main St, Nettleton, MS 38858-6012