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

Main Street Family Dentistry PA

Organization General Practice Dentistry · NPI 1376623074

Main Street Family Dentistry PA provides General Practice Dentistry in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

627 W Main St
Tupelo, MS 38804 Not confirmed with CMS for 11 years — call before visiting
Phone: (662) 840-0066
Fax: (662) 840-7966
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 267792 (MS)
General Practice Dentistry Taxonomy 1223G0001X · Licence 324002 (MS)

Record details

NPI number1376623074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Hildenbrand — President · (662) 840-0066
NPI enumeratedOctober 17, 2006
Last updated in NPPESJune 2, 2015
Mailing address627 West Main St, Tupelo, MS 38804

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