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Main Street Family Dentistry PA

General Practice Dentistry in Tupelo, MS · enumerated 2006 · authorized official Brett Hildenbrand, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376623074

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Family Dentistry PA
Practice address 627 West Main St, Tupelo, MS, 38804
Fax (662) 840-7966
Enumeration date Oct 17, 2006
Last updated in NPPES Jun 2, 2015

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 267792 (MS) Primary
1223G0001X General Practice Dentistry Dental Providers · License 324002 (MS) Secondary

Authorized official

Name Brett Hildenbrand
Title President

Other identifiers

Identifier Type State Issuer
08823205 Medicaid MS -
07158222 Medicaid MS -
00660449 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Main Street Family Dentistry PA located?
The practice location on file with NPPES is in Tupelo, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-06-02. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-02.