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SOUTHERN MAGNOLIA DENTISTRY
NPI 1598545386
Dentist - Pediatric Dentistry in Alexandria, LA

Active since September 29, 2023
3215 MASONIC DR, ALEXANDRIA, LA 71301(318) 229-3121 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Magnolia Dentistry NPPES

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

SOUTHERN MAGNOLIA DENTISTRY (NPI 1598545386) is a healthcare organization registered as a pediatric dentistry in Alexandria, Louisiana and active in the NPI registry since September 2023. The organization lists Akeele Johnson-vallot, Owner, as its authorized official.

NPPES Registry Identity

NPI1598545386
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTHERN MAGNOLIA DENTISTRY, LLC
Location Address3215 MASONIC DRAlexandria, LA 71301-4246
Mailing Address3215 Masonic DrAlexandria, LA 71301-4246 · (318) 229-3121
Phone(318) 229-3121
Organization SubpartNo
Authorized OfficialAkeele Johnson-vallotOwner · (318) 229-3121
Enumeration DateSeptember 29, 2023
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1598545386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3215 MASONIC DR, Alexandria, LA 71301
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Other Names 1

Doing Business AsSouthern Magnolia 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

Other Providers at the Same Location NPPES

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

AKEELE AYANNA JOHNSON-VALLOT DDS, MSD
Dentist (Pediatric Dentistry)
3215 MASONIC DR
ALEXANDRIA, LA 71301
Rapides Parish (318) 542-4005

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 Southern Magnolia Dentistry, LLC's NPI number?

The NPI number for Southern Magnolia Dentistry, LLC is 1598545386. It was assigned to this organization in the NPPES registry on September 29, 2023. The provider is doing business as Southern Magnolia Dentistry.

Where is Southern Magnolia Dentistry, LLC located?

Southern Magnolia Dentistry, LLC is located at 3215 Masonic Dr, Alexandria, LA 71301. The listed phone number is (318) 229-3121.

What is Southern Magnolia Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Southern Magnolia Dentistry, LLC was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.