Magnolia Smiles of Petal PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MAGNOLIA SMILES OF PETAL PLLC

Doing business as

Magnolia Smiles Of Petal
Magnolia Smiles Of Petal PLLC

Practice address

1229 Highway 42 Ste 160-170
Petal, MS 39465-2733

Phone

(601) 735-5086

NPI assigned

May 24, 2022

Last updated

Feb 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Oscar R Jones, DMDNPI 1598178253

Title

Owner/ Dentist

Phone

(601) 735-5086

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Magnolia Smiles Of Petal Doing business as
• Magnolia Smiles Of Petal PLLC Doing business as

Locations

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.

• Oscar Randolph Jones, D.M.D.

  • General Practice Dentistry
  • Waynesboro, MS
  • NPI 1598178253
  Authorized official Same address or phone

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1396483871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 HIGHWAY 42 STE 160-170",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652733",
            "telephone_number": "601-735-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 HIGHWAY 42 STE 160-170",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652733",
            "telephone_number": "601-735-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SMILES OF PETAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "601-735-5086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000763",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Smiles Of Petal",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Smiles Of Petal PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Construction Outreach (JRCS)
• Amye B Lovitt, DPT
• Rodney N Lovitt, MD
• Stacy L Lowery, PHARM.D.
• Magnolia Orthodontics of Petal, PLLC
• Marla Mathis, FNP
• Alicia Martin
• Barbara B Mauldin, D.M.D.
• Tabatha McKinney, PHARMD
• Tim McWilliams

• Dentist in Petal, MS
• Providers in Petal, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.