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Elite Practice Management

Dentist in Olive Branch, MS · enumerated 2020 · authorized official Kimberly Avant, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124630462

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Registry record

Entity type Organization (Type 2)
Legal business name Elite Practice Management
Practice address 7185 Crape Myrtle Dr, Olive Branch, MS, 38654
Phone (662) 314-3585
Fax (662) 346-5438
Enumeration date Aug 18, 2020
Last updated in NPPES Aug 18, 2020

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Kimberly Avant
Title Practice Manager
Phone (662) 314-3585

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Elite Practice Management?
The NPI for Elite Practice Management is 1124630462, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Elite Practice Management?
NPPES lists Kimberly Avant (Practice Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-18.