Madison Dental Group, Pllc

LBN: Madison Dental Group, Pllc
Madison Dental Group, Pllc is an health care organization with primary practice located at 7731 Old Canton Rd Ste A , Madison MS 39110-6115. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Madison Dental Group, Pllc can be contacted via phone (601) 853-3565, or through Fortenberry, William Coleman via phone (601) 853-3565.

Contact Information

Primary practice address
7731 Old Canton Rd Ste A Madison MS 39110-6115
Phone: (601) 853-3565
Fax: (601) 853-3598
Website:
Map and Directions
Authorized official contact:
Name: Fortenberry, William Coleman Doctor of Dental Medicine (DMD)
Phone: (601) 853-3565

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1760106199
LBN Legal business name Madison Dental Group, Pllc
DBA Doing business as
Authorized official Fortenberry, William Coleman Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2022
Last updated Sep 29th, 2022 - about 4 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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