NPIMap

Organization Active NPI

Magnolia Dental

  • Dental Clinic/Center
  • Greenville, SC
National Provider Identifier
1508218876
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6914 Issued in SC
Legal business name
MAGNOLIA DENTAL
Practice address
119 W Antrim Dr
Greenville, SC 29607-2505
Phone
(864) 242-2848
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Dr. Brigette N Zebro, DDS
Title
General Dentist
Phone
(864) 242-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6914 SC Primary

Addresses

Primary practice location

119 W Antrim Dr
Greenville, SC 29607-2505

Mailing address

119 W Antrim Dr
Greenville, SC 29607-2505
Phone (864) 242-2848

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1508218876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W ANTRIM DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072505",
            "telephone_number": "864-242-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W ANTRIM DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072505",
            "telephone_number": "864-242-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "ZEBRO",
        "authorized_official_first_name": "BRIGETTE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "864-242-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "6914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.