Serenity Magnolia Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SERENITY MAGNOLIA DENTAL PLLC

Doing business as

Serenity Dental

Practice address

6519 FM 1488 Rd Ste 505
Magnolia, TX 77354-3264

Phone

(281) 305-8835

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Credentialing Department

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Serenity Dental Doing business as

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1417593617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "281-305-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 FM 1488 RD STE 505",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543264",
            "telephone_number": "281-305-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MAGNOLIA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "DEPARTMENT",
        "authorized_official_first_name": "CREDENTIALING",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aimee N Seeley
• Select Physical Therapy Texas Limited Partnership (Select Physical Therapy)
• Michael M Selig, P.T.
• Shabnam Shawn Sepassi, NP-C
• Serenity Dental Care PLLC
• Nicole Ann Shanahan, RN
• Deborah Lynn Sharp
• Kenzie Shaver
• Reagan Shaw
• Travis Shields, PA

• General Practice Dentistry in Magnolia, TX
• Providers in Magnolia, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.