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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAIN STREET FAMILY DENTISTRY PA

Active Organization

MAIN STREET FAMILY DENTISTRY PA is a General Dentistry organization located in TUPELO, Mississippi. NPI 1376623074 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · TUPELO, MS

Registration Details

NPI Number
1376623074
Provider Type
Organization
NPI Issued
Oct 17, 2006 (19.814337945042 yrs)
Last Updated
Jun 2, 2015
Licenses
324002 (MS)
267792 (MS)

Practice Information

Address
627 WEST MAIN ST
TUPELO, MS, 38804
Browse MS providers · Browse ZIP 38804
Phone
6628400066
Fax
6628407966
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in TUPELO, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.