Goodman Road Dental PLLC
NPI 1265090443ActiveOrganization· Dentist· Olive Branch, MS
Dentist in Olive Branch, Mississippi, registered in NPPES in June 2019. The authorized official on file is Max S. Breazeal, DDS, Owner.
Overview
| NPI | 1265090443 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2019 |
| Last updated in NPPES | Jun 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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