Organization Active NPI

Hwy 72 Family & Implant Dentistry of Madison

  • General Practice Dentistry
  • Madison, AL
National Provider Identifier
1194654707
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HWY 72 FAMILY & IMPLANT DENTISTRY OF MADISON
Practice address
7690 Highway 72 W Ste 101
Madison, AL 35758-9593
Phone
(256) 864-2739
NPI assigned
May 18, 2026
Organization subpart
Yes
Parent organization
MDG ALABAMA CLINICAL ENTITIES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Whitney Coradini
Title
Revenue Cycle Manager
Phone
(615) 497-5629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7690 Highway 72 W Ste 101
Madison, AL 35758-9593

Mailing address

785 Old Hickory Blvd Ste 100
Brentwood, TN 37027-4512

National Provider Directory

National Provider Directory
Part of
Hwy 72 Family Implant Dentistry of Madison

Locations

7690 Highway 72 W
Ste 101
Madison, AL 35758
Phone (256) 864-2739

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1194654707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OLD HICKORY BLVD STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 HIGHWAY 72 W STE 101",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589593",
            "telephone_number": "256-864-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWY 72 FAMILY & IMPLANT DENTISTRY OF MADISON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDG ALABAMA CLINICAL ENTITIES PLLC",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "CORADINI",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "615-497-5629"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.