Magnolia Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAGNOLIA FAMILY DENTISTRY, PLLC

Practice address

101 N Douglas Blvd Ste T
Midwest City, OK 73130-3328

Phone

(405) 455-9057

NPI assigned

Jul 19, 2016

Last updated

Jul 19, 2016By 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

Matthew Guffey, DDS

Title

Owner

Phone

(405) 455-9057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1740633353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N DOUGLAS BLVD STE T",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303328",
            "telephone_number": "405-455-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N DOUGLAS BLVD STE T",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303328",
            "telephone_number": "405-455-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "GUFFEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-455-9057",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Patrick Lyons, O.D.
• Kamyah Lyons
• Jorge Madamba, DDS
• Sierra Maddox
• Rebecca Maeder
• Tariq Mahmood, M.D.
• Huong Mimi Mai-DO
• Suneel Makineni, DDS
• Jahanyar John Makipour, Jr, MD
• Evelyn Maldonado

• General Practice Dentistry in Midwest City, OK
• Providers in Midwest City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.