Madison Dental Associates

NPI #1437417649 in Madison, Florida

Provider Information

NPI Number: 1437417649
Entity Type: Organization
Organization Name: Madison Dental Associates
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2012
Last Updated: Apr 25, 2012

Practice Location

Address: 189 SW CAPTAIN BROWN RD
City: Madison
State: Florida
ZIP Code: 32340-4351
Phone: (850) 973-6621

Authorized Official

Name: CLINT A ROGERS, DMD
Title: OWNER
Phone: (850) 973-6621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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