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

Johntre L Goudy, DMD

Individual provider Dentist · NPI 1407691363

Johntre L Goudy, DMD is a Dentist in Gulfport, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

412 Security Sq
Gulfport, MS 39507-1952
Phone: (228) 234-6321
Fax: (228) 896-6322
Show map & directions

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

Additional practice locations (1)

  • 1025 Division St Ste F, Biloxi, MS 39530-2910 — (228) 432-5222

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4469-24 (MS)

Record details

NPI number1407691363
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

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