MAGNOLIA FAMILY DENTISTRY, LLC
NPI 1326518119
Clinic/Center - Dental in Beaverton, OR

Active since December 05, 2018
1791 NW 173RD AVE STE 110, BEAVERTON, OR 97006(503) 372-5527 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Magnolia Family Dentistry, Llc NPPES

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

MAGNOLIA FAMILY DENTISTRY, LLC (NPI 1326518119) is a healthcare organization registered as a dental in Beaverton, Oregon and active in the NPI registry since December 2018. The organization lists Mira Della Croce, Dentist, as its authorized official.

NPPES Registry Identity

NPI1326518119
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMAGNOLIA FAMILY DENTISTRY, LLC
Location Address1791 NW 173RD AVE STE 110Beaverton, OR 97006-5630
Mailing Address1791 Nw 173rd Ave Ste 110Beaverton, OR 97006-5630 · (503) 372-5527
Organization SubpartNo
Authorized OfficialMira Della CroceDentist · (503) 372-5527
Enumeration DateDecember 5, 2018
NPI 1326518119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1791 NW 173RD AVE STE 110, Beaverton, OR 97006

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1791 NW 173RD AVE STE 110
BEAVERTON, OR 97006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326518119, enumerated as an "organization" on December 05, 2018.

The provider is located at 1791 NW 173RD AVE STE 110 BEAVERTON, OR 97006 and the phone number is (503) 372-5527.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.