Organization Active NPI

Magnolia Smiles Dental PLLC

  • General Practice Dentistry
  • Magnolia, TX
National Provider Identifier
1902503477
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAGNOLIA SMILES DENTAL PLLC
Practice address
6606 Farm to Market Rd 1488
#136
Magnolia, TX 77354
Phone
(352) 281-8575
NPI assigned
Feb 14, 2023
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Jeet JoshiNPI 1437710290
Title
Owner/ Dentist
Phone
(352) 281-8575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6606 Farm to Market Rd 1488
#136
Magnolia, TX 77354

Mailing address

6606 Farm to Market Rd 1488
#136
Magnolia, TX 77354

National Provider Directory

National Provider Directory

Locations

6606 FM 1488 Rd
Ste 136
Magnolia, TX 77354
Phone (936) 273-9399

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1902503477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 FARM TO MARKET RD 1488",
            "address_2": "#136",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 FARM TO MARKET RD 1488",
            "address_2": "#136",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77354",
            "telephone_number": "352-281-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SMILES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "JEET",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "352-281-8575"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.