Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528637980 Individual Practitioner Male Practitioner

Dr. Alex Madov , DDS

Dentist • Fulton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Alex Madov, DDS is a registered healthcare professional specializing in Dentist in Fulton, MO. Practice services are available at 2424 N BLUFF ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2424 N Bluff St

Fulton, MO 652512709

Telephone 5733104075
Associated Practice Facility / Clinic
🏢 Callaway Family Dental Llc Facility NPI 1699484840

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fulton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Fulton, MO (1740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2022040132

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1427140151

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 08, 2025

Registered at 2424 N BLUFF ST, FULTON, MO 652512709 (Tel: 5733104075)

📍
Updated Business Mailing Address January 08, 2025

Registered at 2424 N BLUFF ST, FULTON, MO 652512709 (Tel: 5733104075)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2025

Dentist (License #2022040132 in MO)

NPI Profile Active June 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2021

Registered at 911 GOLDEN PRAIRIE DR, WINNER, SD 575802176 (Tel: 6058421793)

📍
Updated Business Mailing Address June 21, 2021

Registered at 911 GOLDEN PRAIRIE DR, WINNER, SD 575802176 (Tel: 6058421793)

👤
Provider Name / Credentials Updated June 21, 2021

Recorded as ALEX MADOV, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2021

Dentist (License #D1313 in SD)

🟢
Initial NPI Registration & Enumeration June 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528637980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2021
Last Update: September 30, 2025
Sole Proprietor: Yes

Mailing Address

2424 N Bluff St

Fulton, MO 652512709

Phone: 5736426904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.