Dental Care of Madison
NPI #1821137316 in Madison, Mississippi
Provider Information
- NPI Number
- 1821137316
- Entity Type
- Organization
- Organization Name
- Dental Care of Madison
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1896 MAIN ST
- Address 2
- SUITE B
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-7676
- Phone
- (601) 898-9390
Authorized Official
- Name
- DR. JASON SCOTT GRISSOM, D.M.D.
- Title
- PARTNER
- Phone
- (601) 898-9390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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