Magnolia Family Dentistry PLLC
Dentist in Magnolia, TX. Organization (NPI-2).
NPI number1366074890
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1366074890
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Family Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2020
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
| 1223E0200X | Dentist, Endodontics | – | – | |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | |
| 1223P0300X | Dentist, Periodontics | – | – | |
| 1223P0700X | Dentist, Prosthodontics | – | – | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | |
| 1223X0008X | Dentist, Oral and Maxillofacial Radiology | – | – | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | |
| 124Q00000X | Dental Hygienist | – | – |
Other names
- My Dental Of Magnolia (Doing Business As)
Practice location
610 Melton St Ste 300Magnolia, TX 77354-2366
Phone 816-878-5624
Mailing address
15318 Amesbury LnSugar Land, TX 77478-4180
Phone 816-878-5624
Authorized official
Mujib Muquim Ashrafi
Owner
7134573445
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 27 Dentist providers in Magnolia · All 862 providers in Magnolia
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