Organization Active NPI

Magnolia Family Dental

  • Dental Clinic/Center
  • Gainesville, FL
National Provider Identifier
1154225860
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.