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Ld-Madison, LLC — NPI 1285415216, Madison, MS | NPI Central

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NPI 1285415216

OrganizationActive

Ld-Madison, LLC

NPI 1285415216 · Dental Clinic/Center · Madison, MS

Provider details

NPI number: 1285415216
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Lizz Daigneault, Admin Director(256) 783-9468

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

306 Fountains Dr

Madison, MS 39110-6384

Phone: (601) 605-1410

Fax: (601) 605-1367

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

306 Fountains Dr

Madison, MS 39110-6384

Other names (DBA / former)

Doing business as: Colony Dental
Doing business as: Colony Dental

Registry dates

Enumerated: 2023-10-05
Last updated: 2023-11-15
Certified: 2023-11-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.