Active NPI
Magnolia Dental PLLC
- General Practice Dentistry
- Ellsworth, ME
National Provider Identifier
1174422869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MAGNOLIA DENTAL PLLC
- Practice address
- 192 Main St
Op4
Ellsworth, ME 04605-1976 - Phone
- (425) 246-5305
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 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
- Nikole Novikova, DMD, MPH
- Title
- Owner/Dentist
- Phone
- (415) 246-5305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
192 Main St
Op4
Ellsworth, ME 04605-1976
Mailing address
17 Water St
Milbridge, ME 04658-3217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793577600000",
"number": "1174422869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WATER ST",
"city": "MILBRIDGE",
"state": "ME",
"postal_code": "046583217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 MAIN ST",
"address_2": "OP4",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051976",
"telephone_number": "425-246-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-01",
"status": "A",
"authorized_official_last_name": "NOVIKOVA",
"authorized_official_first_name": "NIKOLE",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "415-246-5305",
"authorized_official_credential": "DMD, MPH"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
- Douglas Neal Macgregor, M.D., F.A.A.P.
- James Howard Mackey III, CRNA
- Rebecca Kate Maclean, MS, RD, CSO, LD
- Justice Maddocks-Wilbur
- Gail E Maddocks, RDH
- Maine Coast Hand and Shoulder, P.C.
- Maine Coast Healthcare Corporation
- Maine Coast Physician Affiliates (Maine Coast Medical Supply)
- Maine Coast Regional Health Facilities (Maine Coast Memorial Hospital)
- Maine Coast Regional Health Facilities
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.