Madison Dental Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MADISON DENTAL STUDIO

Practice address

119 Colony Crossing Way Ste 780
Madison, MS 39110-6327

Phone

(769) 300-1001

Fax

(769) 300-1002

NPI assigned

Aug 12, 2020

Last updated

Sep 22, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Diana Long Pappa, DDS

Title

Dentist

Phone

(256) 335-7042

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana Marie Long, DDS

  • Dentist
  • Madison, MS
  • NPI 1124391347
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1083225189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 REUNION DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107142",
            "telephone_number": "256-335-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 COLONY CROSSING WAY STE 780",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106327",
            "telephone_number": "769-300-1001",
            "fax_number": "769-300-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Highway 51 Ste A",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391573404",
            "country_code": "US",
            "telephone_number": "256-335-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MADISON DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "PAPPA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-335-7042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kati L Loyacono, MS, RD, LD
• Pamela Graef Luckett
• Luvs Embrace
• Madison Dental Group, PLLC (Madison Dental Group)
• Madison Dental LLC
• Madison Discount Drugs, Inc.
• Madison Eye Care Clinic
• Madison Foot Clinic, PLLC
• Madison General Surgery, PLLC
• Madison Healthplex & Sports Performance Center LLC

• General Practice Dentistry in Madison, MS
• Providers in Madison, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.