MADISON PEDIATRIC DENTAL GROUP, PLLC
NPI 1669795241
Dentist - Pediatric Dentistry in Madison, MS

Q: What is Madison Pediatric Dental Group, PLLC's NPI number?

The NPI number for Madison Pediatric Dental Group, PLLC is 1669795241. It was assigned to this organization in the NPPES registry on March 10, 2010.

Q: What is Madison Pediatric Dental Group, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 10, 2010

7728 OLD CANTON RD, SUITE A, MADISON, MS 39110(601) 856-1511(601) 856-1011 Get Directions Write a Review

NPPES record last updated: March 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Madison Pediatric Dental Group, Pllc NPPES

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

MADISON PEDIATRIC DENTAL GROUP, PLLC (NPI 1669795241) is a healthcare organization registered as a pediatric dentistry in Madison, Mississippi and active in the NPI registry since March 2010. The organization lists Amy Graham Jones, Owner, as its authorized official.

NPPES Registry Identity

NPI1669795241

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMADISON PEDIATRIC DENTAL GROUP, PLLC

Location Address7728 OLD CANTON RD, SUITE AMadison, MS 39110-6103

Mailing Address7728 Old Canton Rd, Suite AMadison, MS 39110-6103 · (601) 856-1511 · Fax (601) 856-1011

Phone(601) 856-1511

Fax(601) 856-1011

Organization SubpartNo

Authorized OfficialAmy Graham JonesOwner · (601) 856-1511

Enumeration DateMarch 10, 2010

✔ NPI 1669795241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

7728 OLD CANTON RD, Madison, MS 39110

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Other Identifiers 1

Medicaid08305709MS

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 2

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

DR. AMY GRAHAM JONES D.M.D.

Dentist (Pediatric Dentistry)

7728 OLD CANTON RD, SUITE A
MADISON, MS 39110

Madison County (601) 856-1511

DR. HAROLD KOLODNEY, JR. D. M. D.

Dentist (Prosthodontics)

7728 OLD CANTON RD, SUITE B
MADISON, MS 39110

Madison County (601) 856-4420

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 Pediatric Dental Group, PLLC's NPI number?

The NPI number for Madison Pediatric Dental Group, PLLC is 1669795241. It was assigned to this organization in the NPPES registry on March 10, 2010.

Where is Madison Pediatric Dental Group, PLLC located?

Madison Pediatric Dental Group, PLLC is located at 7728 Old Canton Rd Suite A, Madison, MS 39110. The listed phone number is (601) 856-1511.

What is Madison Pediatric Dental Group, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Madison Pediatric Dental Group, PLLC was last updated on March 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.