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

Olivia Porter Gordon

Individual provider General Practice Dentistry · NPI 1366374985

Olivia Porter Gordon is a General Practice Dentistry in Louisville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

16690 E Main St
Louisville, MS 39339-2750
Phone: (662) 773-4222
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 112695 (MS)

Record details

NPI number1366374985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2026
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address16690 E Main St, Louisville, MS 39339-2750

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