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Olivia Mcdaniel Van Gordon
General Practice Dentistry in Grenada, Mississippi
NPI 1598285538

Olivia Mcdaniel Van Gordon is a General Practice Dentistry based in Grenada, MS and is specialized in General Practice. Olivia Mcdaniel Van Gordon practices in Grenada, MS. The NPI Number for Olivia Mcdaniel Van Gordon is 1598285538 and holds a License No. 3934-17 (Mississippi).

The current practice location address for Olivia Mcdaniel Van Gordon is 1800 F S Hill Dr Ste A, Grenada, MS and can be reached out via phone at 662-226-1757 and via fax at 662-307-2709.

Location: 1800 F S Hill Dr Ste A, Grenada, MS, 38901-5071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598285538
Provider Name
Olivia Mcdaniel Van Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1800 F S Hill Dr Ste A, Grenada, MS, 38901-5071
Phone Number
662-226-1757
Fax Number
662-307-2709
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 F S Hill Dr Ste A
City
Grenada
State
Mississippi
Zip
38901-5071
Phone Number
662-226-1757
Fax Number
662-307-2709
person
Provider Business Mailing Address Details
Address
1800 F S Hill Dr Ste A
City
Grenada
State
Mississippi
Zip
38901-5071
Phone Number
662-226-1757
Fax Number
662-307-2709
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3934-17 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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