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Main Street Family Dentistry Pa
General Practice Dentistry in Tupelo, Mississippi
NPI 1376623074

Main Street Family Dentistry Pa is a General Practice Dentistry based in Tupelo, MS and is specialized in General Practice. Main Street Family Dentistry Pa practices in Tupelo, MS. The NPI Number for Main Street Family Dentistry Pa is 1376623074 and holds a License No. 267792 (Mississippi).

The current practice location address for Main Street Family Dentistry Pa is 627 West Main St, Tupelo, MS and can be reached out via phone at 662-840-0066 and via fax at 662-840-7966.

Location: 627 West Main St, Tupelo, MS, 38804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376623074
Provider Name
Main Street Family Dentistry Pa
Credential
Provider Entity Type
Organization
Address
627 West Main St, Tupelo, MS, 38804
Phone Number
662-840-0066
Fax Number
662-840-7966
Provider Enumeration Date
10/17/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08823205 05 MS
07158222 05 MS
00660449 05 MS
institution
Provider Business Practice Location Address Details
Address
627 West Main St
City
Tupelo
State
Mississippi
Zip
38804
Phone Number
662-840-0066
Fax Number
662-840-7966
person
Provider Business Mailing Address Details
Address
627 West Main St
City
Tupelo
State
Mississippi
Zip
38804
Phone Number
662-840-0066
Fax Number
662-840-7966
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
267792 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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