Magnolia Grove City LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAGNOLIA GROVE CITY LLC

Doing business as

Magnolia Dental Grove City

Practice address

2053 Stringtown Rd
Grove City, OH 43123-2930

Phone

(614) 636-4081

NPI assigned

Aug 27, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Sammons

Title

Regional Operations Manager

Phone

(937) 203-1163

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Dental Grove City Doing business as

Locations

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1891308029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232930",
            "telephone_number": "614-636-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA GROVE CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "937-203-1163"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Dental Grove City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• M.Alexandrunas, D.M.D - Grove City Dental Expressions Inc.
• Amanda Macconnell
• Barbara Jane Macewen-Mogren
• Jerrin David Mack
• Michele Mack, LMT, CPMT
• Samira Mahamud
• Karson Rose Mahaney, PT,DPT
• Main Chiropractic LLC
• Samira Malakooti, MA
• Kushanth Shiv Mallikarjun, MD

• Dental Clinic/Center in Grove City, OH
• Providers in Grove City, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.