Organization
HWY 72 FAMILY & IMPLANT DENTISTRY OF MADISON
Active
Parent organization
MDG ALABAMA CLINICAL ENTITIES PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MDG ALABAMA CLINICAL ENTITIES PLLC
Authorized official
WHITNEY CORADINI (REVENUE CYCLE MANAGER)
(615) 497-5629
Entity
Organization
Contact information
Practice address
7690 HIGHWAY 72 W STE 101, MADISON, AL 35758-9593
(256) 864-2739
Mailing address
785 OLD HICKORY BLVD STE 100, BRENTWOOD, TN 37027-4512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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