Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Pediatric Dental Group, PLLC

Organization Pediatric Dentistry · NPI 1669795241

Madison Pediatric Dental Group, PLLC provides Pediatric Dentistry in Madison, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7728 Old Canton Rd Ste A
Madison, MS 39110-6103 Not confirmed with CMS for 16 years — call before visiting
Phone: (601) 856-1511
Fax: (601) 856-1011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X (MS)

Record details

NPI number1669795241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Jones — Owner · (601) 856-1511
NPI enumeratedMarch 10, 2010
Last updated in NPPESMarch 10, 2010
Mailing address7728 Old Canton Rd, Suite A, Madison, MS 39110-6103

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