Organization · Type 2 NPI

Main Street Family Dentistry PA

General Practice Dentistry · Tupelo, MS

NPI number 1376623074 Active

About NPI 1376623074

Main Street Family Dentistry PA's National Provider Identifier is 1376623074, issued on Oct 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tupelo, MS. The record was last updated on Jun 2, 2015.