OrganizationActive
Madison Pediatric Dental Group, PLLC
NPI 1669795241 · Pediatric Dentistry · Madison, MS
Provider details
- NPI number
- 1669795241
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amy Jones, Owner(601) 856-1511
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES 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
7728 Old Canton Rd
Suite a
Madison, MS 39110-6103
Phone: (601) 856-1511
Fax: (601) 856-1011
Street-level locationGet directions
Mailing address
7728 Old Canton Rd
Madison, MS 39110-6103
Registry dates
- Enumerated
- 2010-03-10
- Last updated
- 2010-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.