Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MADISON DENTAL GROUP, PLLC
Active
Organization
MADISON DENTAL GROUP, PLLC
Active
Other names
Madison Dental Group, Madison Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM COLEMAN FORTENBERRY DMD (OWNER)
(601) 853-3565
Entity
Organization
Contact information
Practice address
7731 OLD CANTON RD STE A, MADISON, MS 39110-6115
(601) 853-3565
(601) 853-3598
Mailing address
PO BOX 1547, MADISON, MS 39130-1547
(601) 853-3565
(601) 853-3598
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up