| Madison Dental Associates | |
|
189 Sw Captain Brown Rd Madison FL 32340-4351 | |
| (850) 973-6621 | |
| (850) 973-6672 |
| Full Name | Madison Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 189 Sw Captain Brown Rd, Madison, Florida |
| Authorized Official Name and Position | Clint A Rogers (OWNER) |
| Authorized Official Contact | 8509736621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dental Associates 189 Sw Captain Brown Rd Madison FL 32340-4351 Ph: (850) 973-6621 | Madison Dental Associates 189 Sw Captain Brown Rd Madison FL 32340-4351 Ph: (850) 973-6621 |
| NPI Number | 1437417649 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437417649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Roderick K Shaw Iii Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Ne Duval Ave, Madison, FL 32340 Phone: 850-973-6427 Fax: 850-973-9646 |