MADISON DENTAL GROUP, PLLC
NPI 1760106199
Clinic/Center - Dental in Madison, MS

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

The NPI number for Madison Dental Group, PLLC is 1760106199. It was assigned to this organization in the NPPES registry on September 29, 2022. The provider is doing business as Madison Dental Group.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since September 29, 2022

7731 OLD CANTON RD STE A, MADISON, MS 39110(601) 853-3565(601) 853-3598 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Madison Dental Group, Pllc NPPES

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

MADISON DENTAL GROUP, PLLC (NPI 1760106199), doing business as Madison Dental Group, is a healthcare organization registered as a dental in Madison, Mississippi and active in the NPI registry since September 2022. The organization lists William Coleman Fortenberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1760106199

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMADISON DENTAL GROUP, PLLC

Location Address7731 OLD CANTON RD STE AMadison, MS 39110-6115

Mailing AddressPo Box 1547Madison, MS 39130-1547 · (601) 853-3565 · Fax (601) 853-3598

Phone(601) 853-3565

Fax(601) 853-3598

Organization SubpartNo

Authorized OfficialWilliam Coleman FortenberryOwner · (601) 853-3565

Enumeration DateSeptember 29, 2022

NPPES CertifiedSeptember 29, 2022

✔ NPI 1760106199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

7731 OLD CANTON RD STE A, Madison, MS 39110

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Other Names 1

Doing Business AsMadison Dental Group

Other Providers at the Same Location NPPES 3

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

DR. WILLIAM COLEMAN FORTENBERRY DMD

Dentist (General Practice)

7731 OLD CANTON RD STE A
MADISON, MS 39110

Madison County (601) 853-3565

BENJAMIN REESE RUDSENSKE DMD

Dentist (General Practice)

7731 OLD CANTON RD STE A
MADISON, MS 39110

Madison County (601) 853-3565

MADISON DENTAL LLC

Dentist

7731 OLD CANTON RD STE A
MADISON, MS 39110

Madison County (601) 853-3565

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 Group, PLLC's NPI number?

The NPI number for Madison Dental Group, PLLC is 1760106199. It was assigned to this organization in the NPPES registry on September 29, 2022. The provider is doing business as Madison Dental Group.

Where is Madison Dental Group, PLLC located?

Madison Dental Group, PLLC is located at 7731 Old Canton Rd Ste A, Madison, MS 39110. The listed phone number is (601) 853-3565.

What is Madison Dental Group, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Madison Dental Group, PLLC was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.