MAIN STREET FAMILY DENTISTRY PA
NPI 1376623074
Dentist - General Practice in Tupelo, MS

Q: What is Main Street Family Dentistry PA's NPI number?

The NPI number for Main Street Family Dentistry PA is 1376623074. It was assigned to this organization in the NPPES registry on October 17, 2006.

Q: What is Main Street Family Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 17, 2006

627 WEST MAIN ST, TUPELO, MS 38804(662) 840-0066(662) 840-7966 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Main Street Family Dentistry Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET FAMILY DENTISTRY PA (NPI 1376623074) is a healthcare organization registered as a general practice in Tupelo, Mississippi and active in the NPI registry since October 2006. The organization lists Brett M Hildenbrand, President, as its authorized official.

NPPES Registry Identity

NPI1376623074

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMAIN STREET FAMILY DENTISTRY PA

Location Address627 WEST MAIN STTupelo, MS 38804

Mailing Address627 West Main StTupelo, MS 38804 · (662) 840-0066 · Fax (662) 840-7966

Phone(662) 840-0066

Fax(662) 840-7966

Organization SubpartNo

Authorized OfficialBrett M HildenbrandPresident · (662) 840-0066

Enumeration DateOctober 17, 2006

Last NPPES UpdateJune 2, 2015

✔ NPI 1376623074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in MS · 267792✔ Licensed in MS · 324002

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

627 WEST MAIN ST, Tupelo, MS 38804

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Other Identifiers 3

Medicaid07158222MS

Medicaid00660449MS

Medicaid08823205MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Family Dentistry PA's NPI number?

The NPI number for Main Street Family Dentistry PA is 1376623074. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Main Street Family Dentistry PA located?

Main Street Family Dentistry PA is located at 627 West Main St, Tupelo, MS 38804. The listed phone number is (662) 840-0066.

What is Main Street Family Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Main Street Family Dentistry PA was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.