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

Main Street Dental

Organization Dentist · NPI 1043557085

Main Street Dental is a Dentist in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013

Practice location Address checks out

8747 NW Dr
Southaven, MS 38671-2409
Phone: (662) 393-0781
Fax: (662) 342-0750
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3341-05 (MS)

Record details

NPI number1043557085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jarad Braddy — Member · (662) 393-0781
Other names Drs. Joe Braddy & Simmons
NPI enumeratedJanuary 10, 2013
Last updated in NPPESJanuary 28, 2016
Mailing address8747 Northwest Dr, Southaven, MS 38671-2409

Other providers in Southaven