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Madison Pediatric Dental Group, Pllc
Pediatric Dentist in Madison, Mississippi
NPI 1669795241

Madison Pediatric Dental Group, Pllc is a Pediatric Dentist based in Madison, MS and is specialized in Pediatric Dentistry. Madison Pediatric Dental Group, Pllc practices in Madison, MS. The NPI Number for Madison Pediatric Dental Group, Pllc is 1669795241 and holds a License No. (Mississippi).

The current practice location address for Madison Pediatric Dental Group, Pllc is 7728 Old Canton Rd, Madison, MS and can be reached out via phone at 601-856-1511 and via fax at 601-856-1011.

Location: 7728 Old Canton Rd, Madison, MS, 39110-6103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669795241
Provider Name
Madison Pediatric Dental Group, Pllc
Credential
Provider Entity Type
Organization
Address
7728 Old Canton Rd, Madison, MS, 39110-6103
Phone Number
601-856-1511
Fax Number
601-856-1011
Provider Enumeration Date
03/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08305709 05 MS
institution
Provider Business Practice Location Address Details
Address
7728 Old Canton Rd
City
Madison
State
Mississippi
Zip
39110-6103
Phone Number
601-856-1511
Fax Number
601-856-1011
person
Provider Business Mailing Address Details
Address
7728 Old Canton Rd
City
Madison
State
Mississippi
Zip
39110-6103
Phone Number
601-856-1511
Fax Number
601-856-1011
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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