OrganizationActive
Main Street Dental
NPI 1043557085 · Dentist · Southaven, MS
Main Street Dental is a Dentist organization in Southaven, MS (NPI 1043557085).
Provider details
- NPI number
- 1043557085
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jarad Braddy, Member(662) 393-0781
- License
- 3341-05 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8747 Northwest Dr
Southaven, MS 38671-2409
Phone: (662) 393-0781
Fax: (662) 342-0750
Street-level locationGet directions
Mailing address
8747 Northwest Dr
Southaven, MS 38671-2409
Other names (DBA / former)
- Former legal business name
- Drs. Joe Braddy & Simmons
Registry dates
- Enumerated
- 2013-01-10
- Last updated
- 2016-01-28
Frequently asked questions
- What is Main Street Dental's NPI number?
- Main Street Dental's National Provider Identifier (NPI) is 1043557085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Dental?
- Main Street Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Main Street Dental located?
- Main Street Dental's practice location on file with NPPES is 8747 Northwest Dr, Southaven, MS 38671-2409.
- What is Main Street Dental's phone number?
- The practice phone number listed in the NPPES registry for Main Street Dental is (662) 393-0781.
- Who is the authorized official for Main Street Dental?
- The authorized official listed on Main Street Dental's NPPES record is Jarad Braddy, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Dental's NPI active?
- Yes — Main Street Dental's NPI (1043557085) is active in the NPPES registry as of the last update on 2016-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.