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MAGNOLIA DENTAL LLC
NPI 1508684267
Clinic/Center - Dental in Mesa, AZ

Active since October 01, 2024
2346 E BROWN RD, MESA, AZ 85213(435) 637-2100 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Dental Llc NPPES

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

MAGNOLIA DENTAL LLC (NPI 1508684267) is a healthcare organization registered as a dental in Mesa, Arizona and active in the NPI registry since October 2024. The organization lists Marvin Blane Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1508684267
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMAGNOLIA DENTAL LLC
Location Address2346 E BROWN RDMesa, AZ 85213-5255
Mailing Address250 N Fairgrounds Rd Ste 1Price, UT 84501-4201 · (435) 637-2100
Phone(435) 637-2100
Organization SubpartNo
Authorized OfficialMarvin Blane JacksonOwner · (435) 637-2100
Enumeration DateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1508684267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2346 E BROWN RD, Mesa, AZ 85213
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Other Providers at the Same Location NPPES 4

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

DR. BRAD L. COTTLE DMD
Dentist
2346 E BROWN RD
MESA, AZ 85213
Maricopa County (480) 969-3069
MR. RONALD LEROY ROCK DDS
Dentist
2346 E BROWN RD
MESA, AZ 85213
Maricopa County (480) 834-5555
DR. STEPHEN CALLAN DDS
Dentist (General Practice)
2346 E BROWN RD
MESA, AZ 85213
Maricopa County (480) 969-3069
RONALD L ROCK DDS PC
Dentist
2346 E BROWN RD
MESA, AZ 85213
Maricopa County (480) 834-5555

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 1508684267. It was assigned to this organization in the NPPES registry on October 1, 2024.

Where is Magnolia Dental LLC located?

Magnolia Dental LLC is located at 2346 E Brown Rd, Mesa, AZ 85213. The listed phone number is (435) 637-2100.

What is Magnolia Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Magnolia Dental LLC was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.