Tiffany Shawna King, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

112657 Issued in MS

Practice address

7271 Goodman Rd
Olive Branch, MS 38654-1906

Phone

(901) 861-0031

Fax

(901) 861-4031

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Goodman Road Dental PLLC

  • Dentist
  • Olive Branch, MS
  • NPI 1265090443
  NPD (past)

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1306770557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PRIVATE ROAD 3049",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555632",
            "telephone_number": "901-861-0031",
            "fax_number": "901-861-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7271 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541906",
            "telephone_number": "901-861-0031",
            "fax_number": "901-861-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Peyton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380179702",
            "country_code": "US",
            "telephone_number": "901-861-0031",
            "fax_number": "901-861-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TIFFANY",
        "middle_name": "SHAWNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "112657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Elizabeth Kimball, PHARM. D.
• Mollie Jo Kinard, FNP-C
• Allison Rogers King, LCSW
• Marcus Shannon King, PT ATC LAT
• Paul King, MD
• Scott Wood Kirsch, MD
• Klepzig Smith Inc (Medicine Shoppe)
• Jana Klepzig, RPH
• Mike William Klepzig, RPH
• KLS Medical Services

• Dentist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.