MADISON MODERN DENTISTRY, INC
NPI 1992592406
Dentist - General Practice in Fair Oaks, CA

Q: What is Madison Modern Dentistry, Inc's NPI number?

The NPI number for Madison Modern Dentistry, Inc is 1992592406. It was assigned to this organization in the NPPES registry on April 21, 2025.

Q: What is Madison Modern Dentistry, Inc's specialty?

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

Active since April 21, 2025

5315 SUNRISE BLVD, FAIR OAKS, CA 95628(916) 514-5575 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Madison Modern Dentistry, Inc NPPES

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

MADISON MODERN DENTISTRY, INC (NPI 1992592406) is a healthcare organization registered as a general practice in Fair Oaks, California and active in the NPI registry since April 2025. The organization lists Colleen Conlon, Owner, as its authorized official.

NPPES Registry Identity

NPI1992592406

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMADISON MODERN DENTISTRY, INC

Location Address5315 SUNRISE BLVDFair Oaks, CA 95628-3539

Mailing AddressPo Box 660041Dallas, TX 75266-0041

Phone(916) 514-5575

Organization SubpartNo

Authorized OfficialColleen ConlonOwner · (714) 845-8500

Enumeration DateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1992592406 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.

5315 SUNRISE BLVD, Fair Oaks, CA 95628

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR. VICTOR JOSE MARRUFO

Dentist (General Practice)

5315 SUNRISE BLVD
FAIR OAKS, CA 95628

Sacramento County (191) 653-0248

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 Modern Dentistry, Inc's NPI number?

The NPI number for Madison Modern Dentistry, Inc is 1992592406. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Madison Modern Dentistry, Inc located?

Madison Modern Dentistry, Inc is located at 5315 Sunrise Blvd, Fair Oaks, CA 95628. The listed phone number is (916) 514-5575.

What is Madison Modern Dentistry, Inc'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 Modern Dentistry, Inc was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.