Magnolia Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAGNOLIA FAMILY DENTISTRY LLC

Practice address

402 Fox Glen CT
Barrington, IL 60010-1824

Phone

(847) 381-5654

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Kristy Wolter

Title

Insurance Manager

Phone

(630) 339-3972

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmund Frank Tobias, DDS

  • General Practice Dentistry
  • Barrington, IL
  • NPI 1104997816
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1891351094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101824",
            "telephone_number": "847-381-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101824",
            "telephone_number": "847-381-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "630-339-3972"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong Luo, L.AC.
• Jamie L Luttrell, CST
• Lutz Therapy, LLC
• Nanda Madadi
• Gary A Magee, M.D.
• Kristen R Maguire, MD
• Arvind K Maheshwari, MD
• Mandala Counseling Services LLC
• Vikas Manjunath, MD
• June J Mannion, MD

• Dental Clinic/Center in Barrington, IL
• Providers in Barrington, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.