Madison Family Dentistry in Madison - Pediatric Dentistry
Madison Family Dentistry - NPI 1720246531
Madison Family Dentistry is a Pediatric Dentistry in Madison, Indiana. Madison Family Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Madison Family Dentistry is 1720246531. The last update date is 2008-08-28.
Madison Family Dentistry's current location address is 1739 Michigan Rd, Madison, Indiana. You can contact this provider via phone number 8122736744 and fax number 8122654025. The mailing address for Madison Family Dentistry is 1739 Michigan Rd, Madison, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Madison Family Dentistry |
|---|---|
| Address | 1739 Michigan Rd, Madison, Indiana |
| Phone Number | 8122736744 |
| Fax Number | 8122654025 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Duquette William Jesse |
| Credentials | DDS |
| Telephone Number | 8122736744 |
NPI Number Detail
| NPI Number | 1720246531 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2008-08-28 |
Provider Mailing Address Detail
| Address | 1739 Michigan Rd |
|---|---|
| City | Madison |
| State | Indiana (IN) |
| Post Code | 472502721 |
| Phone Number | 8122736744 |
| Fax Number | 8122654025 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3853 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200527470-A | IN | -- | |
| 678416 | IN | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Madison Family Dentistry by the Centers for Medicare & Medicaid Services?
The Madison Family Dentistry has been assigned the NPI (National Provider Identifier) 1720246531 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Madison Family Dentistry's facilities are situated?
The facilities of Madison Family Dentistry are physically located at the following address: 1739 Michigan Rd, Madison, IN, 472502721.
What is Madison Family Dentistry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Madison Family Dentistry is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Madison Family Dentistry receive its 1720246531 assignment from the Centers for Medicare & Medicaid Services?
The Madison Family Dentistry was assigned its 1720246531 by the Centers for Medicare & Medicaid Services on 2008-05-29.
As of what date were the details related to Madison Family Dentistry most recently updated or revised?
The information pertaining to Madison Family Dentistry, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-28.