Gunner Rhoden, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4451-24 Issued in MS

Practice address

9354 US 49
Suite L
Gulfport, MS 39503

Phone

(228) 206-1234

NPI assigned

Sep 11, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Mississippi Smiles Dentistry LLC

  • General Practice Dentistry
  • Gulfport, MS
  • NPI 1174964530

  General Practice

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1043097249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12204 OAKLAWN RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328164",
            "telephone_number": "662-670-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9354 US 49",
            "address_2": "SUITE L",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-206-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Hospital St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395815312",
            "country_code": "US",
            "telephone_number": "228-762-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODEN",
        "first_name": "GUNNER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4451-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Counseling Services, LLC
• Restore Oculoplastics Gulf Coast
• Vicki L Revell-Smith, MS,LPC
• Robert Revell, CPSS
• Mary Reynolds, IDD WAIVER SERVICES
• Nicole Desiree Ribet, MT-BC
• Justine Rice
• Krystal Rice
• Juliet W Richards
• Dana Shavay Richardson Harvey, FNP-BC

• All providers in Gulfport, MS
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.