Madison Pediatric Dental Group, Pllc | |
7728 Old Canton Rd Suite A Madison MS 39110-6103 | |
(601) 856-1511 | |
(601) 856-1011 |
Full Name | Madison Pediatric Dental Group, Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 7728 Old Canton Rd, Madison, Mississippi |
Authorized Official Name and Position | Amy Graham Jones (OWNER) |
Authorized Official Contact | 6018561511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Madison Pediatric Dental Group, Pllc 7728 Old Canton Rd Suite A Madison MS 39110-6103 Ph: (601) 856-1511 | Madison Pediatric Dental Group, Pllc 7728 Old Canton Rd Suite A Madison MS 39110-6103 Ph: (601) 856-1511 |
NPI Number | 1669795241 |
---|---|
Provider Enumeration Date | 03/10/2010 |
Last Update Date | 03/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669795241 | NPI | - | NPPES |
08305709 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (Mississippi) | Primary |
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› Verified 2 days ago
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