# CORDOVA FAMILY DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578296745
- **Authorized official:** BRETT HILDENBRAND DMD (CEO)
- **Authorized official phone:** (662) 321-5883

## Contact information

- **Practice address:** 1680 BONNIE LN, CORDOVA, TN 38016-1529
- **Practice address phone:** (901) 286-3405
- **Practice address fax:** (901) 286-5955
- **Mailing address:** PO BOX 416, SALTILLO, MS 38866-0416
- **Mailing address phone:** (901) 286-3405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2022
- **Last updated:** 07/06/2022