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Hwy 72 Family & Implant Dentistry of Madison

NPI 1194654707ActiveOrganization· Dentist, General Practice· Madison, AL

Dentist, General Practice in Madison, Alabama, registered in NPPES in May 2026, part of Mdg Alabama Clinical Entities PLLC. The authorized official on file is Whitney Coradini, Revenue Cycle Manager.

Overview

NPI1194654707
StatusActive
Entity typeOrganization (subpart)
Parent organizationMdg Alabama Clinical Entities PLLC
NPI issuedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certified by providerMay 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Madison

All 56 general dentists in Madison · All general dentists in Alabama