Magnolia Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1860-79 Issued in MS

Legal business name

MAGNOLIA FAMILY DENTISTRY, LLC

Practice address

513 W Commerce St
Aberdeen, MS 39730-2543

Phone

(662) 369-2063

Fax

(662) 369-2076

NPI assigned

Nov 19, 2009

Last updated

Nov 19, 2009By 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. Roger A Wright, DMDNPI 1669560405

Title

MBR

Phone

(662) 369-2063

Specialties & licenses 2

Addresses

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.

• Roger Alan Wright, D. M. D.

  • Dentist
  • Aberdeen, MS
  • NPI 1669560405
  Authorized official Same address or phone

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1881922466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W COMMERCE ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397302543",
            "telephone_number": "662-369-2063",
            "fax_number": "662-369-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W COMMERCE ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397302543",
            "telephone_number": "662-369-2063",
            "fax_number": "662-369-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "662-369-2063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1860-79",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3463-08",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifebrite Hospital Group of Aberdeen LLC
• Mary C. Long, O.D.
• Valerie Long, NURSE PRACTITIONER
• Luezarah Robinson Healthcare Services
• Arleader Kimberly Lyons, LCSW
• Marsha Houk Health Clinic, LLC (Votech Road Medical Clinic)
• Bruce Arthur Mazat, MD
• James Pearson McVaugh, D.M.D.
• Medicomp, Inc (Medicomp Physical Therapy Aberdeen)
• Mississippi State Department of Health

• General Practice Dentistry in Aberdeen, MS
• Providers in Aberdeen, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.