Dental Care Of Madison

LBN: Dental Care Of Madison
Dental Care Of Madison is an health care organization with primary practice located at 1896 Main St Suite B, Madison MS 39110-7676. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dental Care Of Madison can be contacted via phone (601) 898-9390, or through Grissom, Jason Scott via phone (601) 898-9390.

Contact Information

Primary practice address
1896 Main St Suite B Madison MS 39110-7676
Phone: (601) 898-9390
Fax: (601) 898-9395
Website:
Map and Directions
Authorized official contact:
Name: Grissom, Jason Scott Doctor of Dental Medicine (DMD)
Phone: (601) 898-9390

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3218-02 Mississippi
Dental Providers / General Practice 1223G0001X 3228-02 Mississippi
Dental Providers / General Practice 1223G0001X 3260-03 Mississippi

Profile Details

NPI number 1821137316
LBN Legal business name Dental Care Of Madison
DBA Doing business as
Authorized official Grissom, Jason Scott Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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