Organization Active NPI

Magnolia Family Dental

  • Dentist
  • Midlothian, VA
National Provider Identifier
1093650418
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MAGNOLIA FAMILY DENTAL
Practice address
5161 Craig Rath Blvd
Midlothian, VA 23112-6258
Phone
(804) 744-9051
Fax
(804) 744-9053
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Smith, JESSICA SMITHNPI 1265749196
Title
Owner
Phone
(804) 382-6093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5161 Craig Rath Blvd
Midlothian, VA 23112-6258

Mailing address

5161 Craig Rath Blvd
Midlothian, VA 23112-6258
Phone (804) 744-9051

National Provider Directory

National Provider Directory

Locations

5161 Craig Rath Blvd
Midlothian, VA 23112
Phone (804) 744-9051

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1093650418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 CRAIG RATH BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126258",
            "telephone_number": "804-744-9051",
            "fax_number": "804-744-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 CRAIG RATH BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126258",
            "telephone_number": "804-744-9051",
            "fax_number": "804-744-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-382-6093",
        "authorized_official_credential": "JESSICA SMITH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.