OrganizationActive
Collinsville Family Dental
NPI 1770883688 · Dentist · Collinsville, MS
Collinsville Family Dental is a Dentist organization in Collinsville, MS (NPI 1770883688).
Provider details
- NPI number
- 1770883688
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brock Martin, Dentist/Owner(601) 482-5701
- License
- 3396-06 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
9171 a
Old Hwy 19n
Collinsville, MS 39325
Phone: (601) 626-7555
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 459
Collinsville, MS 39325-0459
Registry dates
- Enumerated
- 2010-10-26
- Last updated
- 2010-10-26
Frequently asked questions
- What is Collinsville Family Dental's NPI number?
- Collinsville Family Dental's National Provider Identifier (NPI) is 1770883688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collinsville Family Dental?
- Collinsville Family Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Collinsville Family Dental located?
- Collinsville Family Dental's practice location on file with NPPES is 9171 a, Collinsville, MS 39325.
- What is Collinsville Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Collinsville Family Dental is (601) 626-7555.
- Who is the authorized official for Collinsville Family Dental?
- The authorized official listed on Collinsville Family Dental's NPPES record is Brock Martin, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collinsville Family Dental's NPI active?
- Yes — Collinsville Family Dental's NPI (1770883688) is active in the NPPES registry as of the last update on 2010-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.