Nettleton Dental LLC

Nettleton Dental LLC is a healthcare organization registered as Dental Clinic/Center in Nettleton, MS, holding Type 2 (organization) NPI 1780303677 since 2022. The authorized official on file is Ambrie Goodman, Dentist.

✓ Active NPI ✓ Valid NPI checksum

NPI	1780303677
Entity type	Organization (Type 2)
Legal business name	Nettleton Dental LLC
Practice address	228 MAIN ST, Nettleton, MS, 38858
Phone	6629637338
Enumeration date	2022-08-24
Last updated in NPPES	2022-08-24

Authorized official

Name	Ambrie Goodman
Title	Dentist
Phone	6625718760

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QD0000X	Dental Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Nettleton Dental LLC
NPI: 1780303677
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 228 MAIN ST, Nettleton, MS, 38858

Providers at this address

NPI	Name	Type	Specialty	Location
1386843050	James Jackson	Individual	Dentist	Nettleton, MS

Verify this record

Cross-check NPI 1780303677 against the authoritative CMS record: view Nettleton Dental LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-08-24. Verify at npiregistry.cms.hhs.gov.

Where is Nettleton Dental LLC located?

The practice location on file with NPPES is in Nettleton, MS.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-08-24.