Madison Pediatric Dental Group, Pllc
NPI #1669795241 in Madison, Mississippi
Provider Information
- NPI Number
- 1669795241
- Entity Type
- Organization
- Organization Name
- Madison Pediatric Dental Group, Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 10, 2010
- Last Updated
- Mar 10, 2010
Practice Location
- Address
- 7728 OLD CANTON RD
- Address 2
- SUITE A
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6103
- Phone
- (601) 856-1511
Authorized Official
- Name
- DR. AMY GRAHAM JONES, D.M.D.
- Title
- OWNER
- Phone
- (601) 856-1511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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