Main Street Dental

  • 1043557085 NPI Number
  • |
  • Actived: 11 years ago
  • |
Main Street Dental is a health care provider based in Southaven, MS. The NPI Number is 1043557085 and it has been active since 11 years ago. The specialty is Dentist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dentist services, Main Street Dental is an excellent option. We are here to help you get the care you need.

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Overview of Main Street Dental

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 01/10/2013
  • Last updated: 01/28/2016

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 3341-05
  • License State: MS

Provider Mailing Address

  • Address: 8747 Northwest Dr
    Southaven, MS 38671
  • Phone: 662-393-0781
  • Fax: 662-342-0750

Provider Practice Location

  • Address: 8747 Northwest Dr
    Southaven, MS 38671
  • Phone: 662-393-0781
  • Fax: 662-342-0750

Authorized Official

  • Name: Jarad Braddy
  • Position/Title: Member
  • Telephone Number: 662-393-0781

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 3341-05
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 082288765
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Main Street Dental?
  • A: The npi number for Main Street Dental is 1043557085.
  • Q: What are Main Street Dental's specialties?
  • A: Main Street Dental's specialties are Dentist and different specialities.
  • Q: Where is Main Street Dental business practice location?
  • A: Main Street Dental business practice location is 8747 Northwest Dr, Southaven, MS 38671.
  • Q: How to contact Main Street Dental?
  • A: You can contact Main Street Dental via 662-393-0781.
  • Q: What is the authorized official for Main Street Dental?
  • A: The authorized office name is Jarad Braddy with position/title is Member and you can reach the authorized official via phone number 6623930781.
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