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

Olivia McDaniel Van Gordon

Individual provider General Practice Dentistry · NPI 1598285538

Olivia McDaniel Van Gordon is a General Practice Dentistry in Grenada, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2017

Practice location Address checks out

1800 F S 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

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3934-17 (MS)

Record details

NPI number1598285538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 21, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1800 F S Hill Dr Ste A, Grenada, MS 38901-5071

Other providers in Grenada