Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collinsville Family Dental

Organization Dentist · NPI 1770883688

Collinsville Family Dental is a Dentist 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
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