NPI 1083225189

Madison Dental Studio

Organisation General Practice Dentistry Madison, MS

Practice location

Address: 119 Colony Crossing Way STE 780, Madison, MS 39110-6327
Phone: (769) 300-1001
Fax: (769) 300-1002
Mailing address: 157 Reunion Dr, Madison, MS 39110-7142

Authorised official

Name: Diana Long Pappa
Title: Dentist
Phone: (256) 335-7042

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1083225189
Entity type: Organization
NPI issued: 12 Aug 2020
Record last updated: 22 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.