Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Collinsville Family Dental

Organization Dentist · NPI 1770883688

Collinsville Family Dental provides Dentist services in Collinsville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010

Practice location Address checks out

9171 A Old Hwy 19N
Collinsville, MS 39325 Not confirmed with CMS for 15 years — call before visiting
Phone: (601) 626-7555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3396-06 (MS)

Record details

NPI number1770883688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brock Martin — Dentist/Owner · (601) 482-5701
NPI enumeratedOctober 26, 2010
Last updated in NPPESOctober 26, 2010
Mailing addressPo Box 459, Collinsville, MS 39325-0459