MAGNOLIA FAMILY DENTISTRY
NPI 1558768978
Dentist - General Practice in Lafayette, LA

Active since December 01, 2014
204 CRESCENT RANCH BLVD, LAFAYETTE, LA 70508(337) 233-1566 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 14, 2021, Sep 13, 2018, Jun 7, 2017 (3 updates tracked since 2017).

About Magnolia Family Dentistry NPPES

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

MAGNOLIA FAMILY DENTISTRY (NPI 1558768978) is a healthcare organization registered as a general practice in Lafayette, Louisiana and active in the NPI registry since December 2014. The organization lists Kendra Walker, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1558768978
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Location Address204 CRESCENT RANCH BLVDLafayette, LA 70508-7530
Mailing Address204 Crescent Ranch BlvdLafayette, LA 70508-7530
Organization SubpartYes
Authorized OfficialKendra WalkerCredentialing Supervisor · (217) 540-8312
Enumeration DateDecember 1, 2014
Last NPPES UpdateOctober 14, 20213 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
NPI 1558768978 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.

204 CRESCENT RANCH BLVD, Lafayette, LA 70508

Other Names 1

Doing Business AsMagnolia Family Dentistry

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

Accepted Insurance

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)
204 CRESCENT RANCH BLVD
LAFAYETTE, LA 70508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558768978, enumerated as an "organization" on December 01, 2014.

The provider is located at 204 CRESCENT RANCH BLVD LAFAYETTE, LA 70508 and the phone number is (337) 233-1566.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.