Individual provider · Type 1 NPI
Olivia Porter Gordon
General Practice Dentistry · Louisville, MS
NPI number
1366374985
Active
Practice location
16690 E Main St
Louisville, MS 39339-2750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 112695 (MS) |
General Practice Dentistry: 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.
2 other providers at this address
Other general practice dentistry providers in Louisville
About NPI 1366374985
Olivia Porter Gordon's National Provider Identifier is 1366374985, issued on May 29, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Louisville, MS. The record was last updated on May 29, 2026.