Madison Pediatric Dental Group, PLLC
Dentist, Pediatric Dentistry in Madison, MS. Organization (NPI-2).
NPI number1669795241
StatusActive
Last updated in NPPESMar 10, 2010
Details
- NPI
- 1669795241
- Entity type
- Organization (NPI-2)
- Legal business name
- Madison Pediatric Dental Group, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2010
- Last updated
- Mar 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | MS | Yes |
Practice location
7728 Old Canton RdSuite A
Madison, MS 39110-6103
Phone 601-856-1511 · Fax 601-856-1011
Mailing address
7728 Old Canton RdSuite A
Madison, MS 39110-6103
Phone 601-856-1511 · Fax 601-856-1011
Authorized official
Amy Graham Jones
Owner
6018561511
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Other Pediatric Dentistry providers in Madison, MS
- Nathan Keil Beavers, D.M.D.NPI 1790849404
- Anne Marie Currie HreishNPI 1194465781
- Amy Graham Jones, D.M.D.NPI 1649474875
- Nathan K. Beavers Dmd PLLCNPI 1003138967
- Gayle Watters, DMDNPI 1265571491
All 6 Pediatric Dentistry providers in Madison · All 868 providers in Madison
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