MAGNOLIA DENTAL, LLC
NPI 1043797152
Dentist - General Practice in Mitchellville, MD

Q: What is Magnolia Dental, LLC's NPI number?

The NPI number for Magnolia Dental, LLC is 1043797152. It was assigned to this organization in the NPPES registry on July 21, 2018.

Q: What is Magnolia Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 21, 2018

10208 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721(301) 485-5463 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2019, Jul 21, 2018 (2 updates tracked since 2018).

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About Magnolia Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA DENTAL, LLC (NPI 1043797152) is a healthcare organization registered as a general practice in Mitchellville, Maryland and active in the NPI registry since July 2018. The organization lists Dawn L Tyler, Dentist, as its authorized official.

NPPES Registry Identity

NPI1043797152

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMAGNOLIA DENTAL, LLC

Location Address10208 LAKE ARBOR WAYMitchellville, MD 20721

Mailing Address10208 Lake Arbor WayMitchellville, MD 20721-3113 · (301) 485-5463

Phone(301) 485-5463

Organization SubpartNo

Authorized OfficialDawn L TylerDentist · (301) 485-5463

Enumeration DateJuly 21, 2018

Last NPPES UpdateJune 17, 20192 updates tracked since enumeration

✔ NPI 1043797152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

10208 LAKE ARBOR WAY, Mitchellville, MD 20721

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERRY CHILDREN DENTAL

Dentist (Pediatric Dentistry)

10208 LAKE ARBOR WAY
MITCHELLVILLE, MD 20721

Prince George's County (301) 333-2282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Dental, LLC's NPI number?

The NPI number for Magnolia Dental, LLC is 1043797152. It was assigned to this organization in the NPPES registry on July 21, 2018.

Where is Magnolia Dental, LLC located?

Magnolia Dental, LLC is located at 10208 Lake Arbor Way, Mitchellville, MD 20721. The listed phone number is (301) 485-5463.

What is Magnolia Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Magnolia Dental, LLC was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.