Restorativ

Specialty details in registry · Madison, MS

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At a glance

129 Fountains Blvd Ste 101, Madison, MS 39110-6361

NPPES record updated Sep 4, 2019. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

129 Fountains Blvd Ste 101
Madison, MS 39110-6361
Professional details: NPI, taxonomy & registry record
NPI1134778988
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207LP2900X
Enumeration date
Sep 4, 2019
Record updated
Sep 4, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207LP2900X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

129 Fountains Blvd Ste 101
Madison, MS 39110-6361
Phone
(769) 300-0730
Fax
(601) 949-2782
Mailing address
129 FOUNTAINS BLVD STE 101

MADISON, MS 391106361
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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