Organization
GERMANTOWN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY M CASTLE (DIRECTOR OF PAYOR CONTRACTS)
(912) 732-1504
Entity
Organization
Contact information
Practice address
102 DEES DRIVE, SUITE M, MADISON, MS 39110
(601) 381-8200
(601) 381-8255
Mailing address
102 DEES DRIVE, SUITE M, MADISON, MS 39110
(601) 381-8200
(601) 381-8255
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
07/24/2025
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