Madison Dental Studio
NPI #1083225189 in Madison, Mississippi
Provider Information
- NPI Number
- 1083225189
- Entity Type
- Organization
- Organization Name
- Madison Dental Studio
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 12, 2020
- Last Updated
- Sep 22, 2021
Practice Location
- Address
- 119 COLONY CROSSING WAY STE 780
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6327
- Phone
- (769) 300-1001
Authorized Official
- Name
- DR. DIANA LONG PAPPA, DDS
- Title
- DENTIST
- Phone
- (256) 335-7042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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