Madison Family Dentistry is a Dental Clinic in Madison, Indiana. It is located at 1739 Michigan Rd, Madison, IN and its contact number is 812-273-6744. The authorized person for Madison Family Dentistry is Dr. Jesse William Duquette
who is Owner of the clinic and their contact number is 812-273-6744. The primary license number for Madison Family Dentistry is 8174 (Pediatric Dentistry) in Indiana. Madison Family Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Madison Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Madison Family Dentistry
Specialization:
Dentistry
Clinic Address:
1739 Michigan Rd, Madison, Indiana, 47250-2721
Phone:
812-273-6744
Fax:
812-265-4025
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jesse William Duquette
Position:
Owner
Contact Number:
812-273-6744
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Madison Family Dentistry clinic are as mentioned below.
NPI Number:
1720246531
NPI Enumeration Date:
29 May, 2008
NPI Last Update On:
28 Aug, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Madison Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
8174
Indiana
Primary
Dentist
12010146A
Indiana
Secondary
Pediatric Dentistry
3853
Kentucky
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200527470-A
Medicaid
Indiana
678416
Other
Indiana
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Madison Family Dentistry 1739 Michigan Rd, Madison, Indiana
Zip:
47250-2721
Phone Number:
812-273-6744
Fax Number:
812-265-4025
Patients can reach Madison Family Dentistry at 1739 Michigan Rd, Madison, Indiana or can call to book an appointment on 812-273-6744. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.