OrganizationActive
Hwy 72 Family & Implant Dentistry of Madison
NPI 1194654707 · General Practice Dentistry · Madison, AL
Provider details
- NPI number
- 1194654707
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Mdg Alabama Clinical Entities PLLC
- Organization subpart
- Yes
- Authorized official
- Whitney Coradini, Revenue Cycle Manager(615) 497-5629
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7690 Highway 72 W Ste 101
Madison, AL 35758-9593
Phone: (256) 864-2739
Street-level locationGet directions
Mailing address
785 Old Hickory Blvd Ste 100
Brentwood, TN 37027-4512
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.