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

Main Street Family Dentistry PA

Organization General Practice Dentistry · NPI 1376623074

Main Street Family Dentistry PA is a General Practice Dentistry in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

627 W Main St
Tupelo, MS 38804
Phone: (662) 840-0066
Fax: (662) 840-7966
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 267792 (MS)
General Practice Dentistry Taxonomy 1223G0001X · Licence 324002 (MS)

Record details

NPI number1376623074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Hildenbrand — President · (662) 840-0066
NPI enumeratedOctober 17, 2006
Last updated in NPPESJune 2, 2015
Mailing address627 West Main St, Tupelo, MS 38804

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