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MADISON DENTAL STUDIO
NPI 1083225189
Dentist - General Practice in Madison, MS

Active since August 12, 2020
119 COLONY CROSSING WAY STE 780, MADISON, MS 39110(769) 300-1001(769) 300-1002 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2021, Aug 2, 2021, Aug 12, 2020 (3 updates tracked since 2020).

About Madison Dental Studio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON DENTAL STUDIO (NPI 1083225189) is a healthcare organization registered as a general practice in Madison, Mississippi and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Ridgeland and lists Diana Long Pappa, Dentist, as its authorized official.

NPPES Registry Identity

NPI1083225189
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMADISON DENTAL STUDIO
Location Address119 COLONY CROSSING WAY STE 780Madison, MS 39110-6327
Mailing Address157 Reunion DrMadison, MS 39110-7142 · (256) 335-7042
Phone(769) 300-1001
Fax(769) 300-1002
Organization SubpartNo
Authorized OfficialDiana Long PappaDentist · (256) 335-7042
Enumeration DateAugust 12, 2020
Last NPPES UpdateSeptember 22, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1083225189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
119 COLONY CROSSING WAY STE 780, Madison, MS 39110
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Secondary Practice Location 1

Location 1321 Highway 51 Ste ARidgeland, MS 39157-3404 · Phone (256) 335-7042

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COFFEY PLLC
Dentist
119 COLONY CROSSING WAY STE 780
MADISON, MS 39110
Madison County (769) 300-1001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Dental Studio's NPI number?

The NPI number for Madison Dental Studio is 1083225189. It was assigned to this organization in the NPPES registry on August 12, 2020.

Where is Madison Dental Studio located?

Madison Dental Studio is located at 119 Colony Crossing Way Ste 780, Madison, MS 39110. The listed phone number is (769) 300-1001.

What is Madison Dental Studio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Madison Dental Studio was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.