Organization Active NPI

Magnolia Smiles Family Dentistry,PLLC

  • General Practice Dentistry
  • Waynesboro, MS
National Provider Identifier
1205229101
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3744-14 Issued in MS
Legal business name
MAGNOLIA SMILES FAMILY DENTISTRY,PLLC
Practice address
806 Mississippi Dr
Waynesboro, MS 39367-2438
Phone
(601) 735-5086
Fax
(601) 735-5086
NPI assigned
Mar 17, 2015
Last updated
Mar 17, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
OSCAR R JONES DMDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Oscar Randolph Jones, DMDNPI 1598178253
Title
Dentist
Phone
(601) 735-5086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3744-14 MS Primary

Addresses

Primary practice location

806 Mississippi Dr
Waynesboro, MS 39367-2438

Mailing address

PO Box 368
806 Mississippi Dr
Waynesboro, MS 39367-0368
Phone (601) 735-5086

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1205229101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "address_2": "806 MISSISSIPPI DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393670368",
            "telephone_number": "601-735-5086",
            "fax_number": "601-735-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 MISSISSIPPI DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672438",
            "telephone_number": "601-735-5086",
            "fax_number": "601-735-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SMILES FAMILY DENTISTRY,PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSCAR R JONES DMD",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-735-5086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3744-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.