Active NPI
Magnolia Family Dental
- Dental Clinic/Center
- Gainesville, FL
National Provider Identifier
1154225860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MAGNOLIA FAMILY DENTAL
- Practice address
- 4121 NW 37TH PL Ste a
Gainesville, FL 32606-8147 - Phone
- (352) 373-7361
- Fax
- (352) 373-7150
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Twyla Roberts, DMD
- Title
- Owner
- Phone
- (352) 373-7361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
4121 NW 37TH PL Ste a
Gainesville, FL 32606-8147
Mailing address
4121 NW 37TH PL Ste a
Gainesville, FL 32606-8147
Phone (352) 373-7361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1154225860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 NW 37TH PL STE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068147",
"telephone_number": "352-373-7361",
"fax_number": "352-373-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 NW 37TH PL STE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068147",
"telephone_number": "352-373-7361",
"fax_number": "352-373-7150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "TWYLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-373-7361",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.