Main Street Dental is a Dental Clinic in Southaven, Mississippi. It is located at 8747 Northwest Dr, Southaven, MS and its contact number is 662-393-0781. The authorized person for Main Street Dental is Jarad Braddy
who is Member of the clinic and their contact number is 662-393-0781. The primary license number for Main Street Dental is 3341-05 (Dentist) in Mississippi. Main Street Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Main Street Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jarad Braddy
Position:
Member
Contact Number:
662-393-0781
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Main Street Dental clinic are as mentioned below.
NPI Number:
1043557085
NPI Enumeration Date:
10 Jan, 2013
NPI Last Update On:
28 Jan, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Main Street Dental are as mentioned below.
Specialization
License Number
State
Status
Dentist
3341-05
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
082288765
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Main Street Dental 8747 Northwest Dr, Southaven, Mississippi
Zip:
38671-2409
Phone Number:
662-393-0781
Fax Number:
662-342-0750
Patients can reach Main Street Dental at 8747 Northwest Dr, Southaven, Mississippi or can call to book an appointment on 662-393-0781. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.