Organization · Type 2 NPI
Madison Dental Group, PLLC
Dental Clinic/Center · Madison, MS
NPI number
1760106199
Active
Practice location
7731 Old Canton Rd Ste A
Madison, MS 39110-6115
Fax (601) 853-3598
Mailing address
PO Box 1547
Madison, MS 39130-1547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Madison
About NPI 1760106199
Madison Dental Group, PLLC's National Provider Identifier is 1760106199, issued on Sep 29, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Madison, MS. The record was last updated on Sep 29, 2022.