| Madison Dental Studio | |
|
119 Colony Crossing Way Ste 780 Madison MS 39110-6327 | |
| (769) 300-1001 | |
| (769) 300-1002 |
| Full Name | Madison Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 119 Colony Crossing Way Ste 780, Madison, Mississippi |
| Authorized Official Name and Position | Diana Long Pappa (DENTIST) |
| Authorized Official Contact | 2563357042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dental Studio 157 Reunion Dr Madison MS 39110-7142 Ph: (256) 335-7042 | Madison Dental Studio 119 Colony Crossing Way Ste 780 Madison MS 39110-6327 Ph: (769) 300-1001 |
| NPI Number | 1083225189 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083225189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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