Provider Demographics
NPI:1497445241
Name:PAPICH, MADISON RUSH (DMD)
Entity type:Individual
Prefix:DR
First Name:MADISON
Middle Name:RUSH
Last Name:PAPICH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MADISON
Other - Middle Name:MARGUERITE
Other - Last Name:RUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3325 AFTON WAY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4215
Mailing Address - Country:US
Mailing Address - Phone:256-466-2601
Mailing Address - Fax:
Practice Address - Street 1:1020 ANTEBELLUM CIR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-7096
Practice Address - Country:US
Practice Address - Phone:615-822-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN12872122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program