Main Street Family Dentistry Pa is a Dental Clinic in Tupelo, Mississippi. It is located at 627 West Main St, Tupelo, MS and its contact number is 662-840-0066. The authorized person for Main Street Family Dentistry Pa is Dr. Brett M Hildenbrand
who is President of the clinic and their contact number is 662-840-0066. The primary license number for Main Street Family Dentistry Pa is 267792 (General Practice) in Mississippi. Main Street Family Dentistry Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Main Street Family Dentistry Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Main Street Family Dentistry Pa
Specialization:
General Practice Dentistry
Clinic Address:
627 West Main St, Tupelo, Mississippi, 38804
Phone:
662-840-0066
Fax:
662-840-7966
Authorized/Official Person Profile:
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:
Dr. Brett M Hildenbrand
Position:
President
Contact Number:
662-840-0066
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 Family Dentistry Pa clinic are as mentioned below.
NPI Number:
1376623074
NPI Enumeration Date:
17 Oct, 2006
NPI Last Update On:
02 Jun, 2015
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 Family Dentistry Pa are as mentioned below.
Specialization
License Number
State
Status
General Practice
267792
Mississippi
Primary
General Practice
324002
Mississippi
Secondary
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
08823205
Medicaid
Mississippi
07158222
Medicaid
Mississippi
00660449
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 Family Dentistry Pa 627 West Main St, Tupelo, Mississippi
Zip:
38804
Phone Number:
662-840-0066
Fax Number:
662-840-7966
Patients can reach Main Street Family Dentistry Pa at 627 West Main St, Tupelo, Mississippi or can call to book an appointment on 662-840-0066. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.