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MADISON DENTAL LLC
NPI 1972438620
Dentist in Madison, MS

Active since June 15, 2026
7731 OLD CANTON RD STE A, MADISON, MS 39110(601) 853-3565(601) 853-3598 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Dental Llc NPPES

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

MADISON DENTAL LLC (NPI 1972438620) is a healthcare organization registered as a dentist in Madison, Mississippi and active in the NPI registry since June 2026. The organization lists Nicki Ashley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972438620
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMADISON DENTAL LLC
Location Address7731 OLD CANTON RD STE AMadison, MS 39110-6115
Mailing Address7731 Old Canton Rd Ste AMadison, MS 39110-6115 · (601) 853-3565 · Fax (601) 853-3598
Phone(601) 853-3565
Fax(601) 853-3598
Organization SubpartNo
Authorized OfficialNicki AshleyOffice Manager · (601) 853-3565
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1972438620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
7731 OLD CANTON RD STE A, Madison, MS 39110
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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 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 GROUP, PLLC
Clinic/Center (Dental)
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 LLC's NPI number?

The NPI number for Madison Dental LLC is 1972438620. It was assigned to this organization in the NPPES registry on June 15, 2026.

Where is Madison Dental LLC located?

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

What is Madison Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Madison Dental LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.