Olive Branch Dental Group PLLC
NPI 1174072409ActiveOrganization· Dentist, General Practice· Olive Branch, MS
Dentist, General Practice in Olive Branch, Mississippi, registered in NPPES in September 2016. The authorized official on file is Debbie K. Shields, Business Office.
Overview
| NPI | 1174072409 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2016 |
| Last updated in NPPES | Sep 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 233887 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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