MAIN STREET DENTAL

Dentist

Active Organization
NPI: 1043557085

Practice Address

8747 NORTHWEST DR
Southaven, MS 38671

Phone: (662) 393-0781

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 3341-05 (MS)

Frequently Asked Questions

NPI 1043557085 is the National Provider Identifier for MAIN STREET DENTAL, a Dentist provider located in Southaven, MS. This NPI was enumerated on January 10, 2013.

Quick Facts

NPI
1043557085
Type
Organization
Enumerated
Jan 10, 2013
Last Updated
Jan 28, 2016

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