Marena Locke Counce, DDS
Individual provider Active NPI Dentist · Olive Branch, MS
NPI 1376388264 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1376388264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 112253 (MS)
- Practice address
- 9035 E Sandidge Rd Ste 100
Olive Branch, MS 38654-3563 - Phone
- (662) 731-0866
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112253 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Dental, PLC | Current |
Accepting new patients |
Locations
560 Colonial Rd
Ste 100
Memphis, TN 38117
Phone (901) 680-6881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 112253 | MS | Yes |
| General Practice Dentistry | 1223G0001X | 12527 | TN |
Addresses
Primary practice location
9035 E Sandidge Rd Ste 100
Olive Branch, MS 38654-3563
Mailing address
500 S Greer St
Memphis, TN 38111-3212
Phone (901) 258-2793
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.