Main Street Family Dentistry PA
NPI 1376623074 · General Practice Dentistry · Tupelo, MS
Main Street Family Dentistry PA is a General Practice Dentistry organization in Tupelo, MS (NPI 1376623074).
Provider details
- NPI number
- 1376623074
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brett Hildenbrand, President(662) 840-0066
- License
- 324002 (MS)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2015-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.