| Madison Family Dentistry, Pllc | |
|
306 S Main St Madison VA 22727-3026 | |
| (540) 948-4488 | |
| Not Available |
| Full Name | Madison Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 306 S Main St, Madison, Virginia |
| Authorized Official Name and Position | Oscar G. Vega (OWNER) |
| Authorized Official Contact | 5409484488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Family Dentistry, Pllc 306 S Main St Madison VA 22727-3026 Ph: (540) 948-4488 | Madison Family Dentistry, Pllc 306 S Main St Madison VA 22727-3026 Ph: (540) 948-4488 |
| NPI Number | 1609251503 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609251503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401004401 (Virginia) | Secondary |
| 261QD0000X | Clinic/center - Dental | 0401413659 (Virginia) | Primary |
David M Deviese Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 S Main St, Madison, VA 22727 Phone: 540-948-4488 Fax: 540-948-4662 |