Gluckstadt Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLUCKSTADT DENTAL PLLC

Practice address

1085 Gluckstadt Rd BLDG 100
Gluckstadt, MS 39110-9425

Phone

(601) 898-2228

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Braden McInteer, DMD

Title

Owner/Partner

Phone

(601) 898-2228

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1508770058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 GLUCKSTADT RD BLDG 100",
            "city": "GLUCKSTADT",
            "state": "MS",
            "postal_code": "391109425",
            "telephone_number": "601-898-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 GLUCKSTADT RD BLDG 100",
            "city": "GLUCKSTADT",
            "state": "MS",
            "postal_code": "391109425",
            "telephone_number": "601-898-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUCKSTADT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "MCINTEER",
        "authorized_official_first_name": "BRADEN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "601-898-2228",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Gluckstadt, MS
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• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.