MADISON PEDIATRIC DENTISTRY LLC NPI 1184935959

NPI Information

MADISON PEDIATRIC DENTISTRY LLC is a pediatric dentistry dentist in Madison, AL. The provider is 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. MADISON PEDIATRIC DENTISTRY LLC NPI is 1184935959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7559 HIGHWAY 72 W
SUITE C7/C8
MADISON, AL
ZIP 35758-811
Phone: (256) 527-4590
Fax: (256) 890-4293

The provider's authorized official is Wesley Moffett .
The authorized official title is Member and has the following contact phone number (205) 792-0003.

The enumeration date for this NPI number is 6/27/2010 and was last updated on 4/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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