# MADDEN FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245789122
- **Authorized official:** THOMAS MADDEN (DR/OWNER)
- **Authorized official phone:** (315) 963-3412

## Contact information

- **Practice address:** 3358 MAIN ST, MEXICO, NY 13114-3002
- **Practice address phone:** (315) 963-3412
- **Mailing address:** 3358 MAIN ST, MEXICO, NY 13114-3002
- **Mailing address phone:** (315) 963-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 034937 | NY | Yes |

## Other

- **Enumeration date:** 10/03/2016
- **Last updated:** 10/03/2016