Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAGNOLIA LANE DENTAL OF O FALLON LLC
NPI 1285560847
Dentist - General Practice in O Fallon, MO

Q: What is Magnolia Lane Dental Of O Fallon LLC's NPI number?

The NPI number for Magnolia Lane Dental Of O Fallon LLC is 1285560847. It was assigned to this organization in the NPPES registry on June 22, 2026.

Q: What is Magnolia Lane Dental Of O Fallon LLC's specialty?

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

Active since June 22, 2026

608 WOODLAWN AVE, O FALLON, MO 63366(217) 779-4029 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Magnolia Lane Dental Of O Fallon Llc NPPES

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

MAGNOLIA LANE DENTAL OF O FALLON LLC (NPI 1285560847) is a healthcare organization registered as a general practice in O Fallon, Missouri and active in the NPI registry since June 2026. The organization lists Autumn Maloney, Dentist, as its authorized official.

NPPES Registry Identity

NPI1285560847

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMAGNOLIA LANE DENTAL OF O FALLON LLC

Location Address608 WOODLAWN AVEO Fallon, MO 63366-2521

Mailing Address104 Sunnyside Estates CtDardenne Prairie, MO 63368-7617 · (217) 779-4029

Phone(217) 779-4029

Organization SubpartNo

Authorized OfficialAutumn MaloneyDentist · (217) 779-4029

Enumeration DateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1285560847 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.

608 WOODLAWN AVE, O Fallon, MO 63366

Open in Google Maps ↗

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.

AUTUMN CHASE ROSALIA MALONEY DMD

Dentist (General Practice)

608 WOODLAWN AVE
O FALLON, MO 63366

St. Charles County (217) 779-4029

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 Lane Dental Of O Fallon LLC's NPI number?

The NPI number for Magnolia Lane Dental Of O Fallon LLC is 1285560847. It was assigned to this organization in the NPPES registry on June 22, 2026.

Where is Magnolia Lane Dental Of O Fallon LLC located?

Magnolia Lane Dental Of O Fallon LLC is located at 608 Woodlawn Ave, O Fallon, MO 63366. The listed phone number is (217) 779-4029.

What is Magnolia Lane Dental Of O Fallon 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 Lane Dental Of O Fallon LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.