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Madison Dental Group, Pllc
Dental Clinic/Center in Madison, Mississippi
NPI 1760106199

Madison Dental Group, Pllc is a Dental Clinic/Center based in Madison, MS and is specialized in Dental. Madison Dental Group, Pllc practices in Madison, MS. The NPI Number for Madison Dental Group, Pllc is 1760106199 and holds a License No. (Mississippi).

The current practice location address for Madison Dental Group, Pllc is 7731 Old Canton Rd Ste A, Madison, MS and can be reached out via phone at 601-853-3565 and via fax at 601-853-3598.

Location: 7731 Old Canton Rd Ste A, Madison, MS, 39130-1547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760106199
Provider Name
Madison Dental Group, Pllc
Credential
Provider Entity Type
Organization
Address
7731 Old Canton Rd Ste A, Madison, MS, 39130-1547
Phone Number
601-853-3565
Fax Number
601-853-3598
Provider Enumeration Date
09/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7731 Old Canton Rd Ste A
City
Madison
State
Mississippi
Zip
39110-6115
Phone Number
601-853-3565
Fax Number
601-853-3598
person
Provider Business Mailing Address Details
Address
7731 Old Canton Rd Ste A
City
Madison
State
Mississippi
Zip
39110-6115
Phone Number
601-853-3565
Fax Number
601-853-3598
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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