MAGNOLIA FAMILY DENTISTRY OF COLUMBUS INC. NPI 1043533623

NPI Information

  • NPI: 1043533623
  • Provider Name: MAGNOLIA FAMILY DENTISTRY OF COLUMBUS, INC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2401 5TH ST N STE 2
    COLUMBUS, MS
    ZIP 39705
  • Phone: (662) 328-8001

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NPI Details

MAGNOLIA FAMILY DENTISTRY OF COLUMBUS, INC. is a general practice dentist in Columbus, MS. The provider is 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. MAGNOLIA FAMILY DENTISTRY OF COLUMBUS, INC. NPI is 1043533623. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2401 5TH ST N STE 2
COLUMBUS, MS
ZIP 39705-005
Phone: (662) 328-8001
Fax: (888) 852-8644

The provider's authorized official is Donnie J. Richardson .
The authorized official title is Owner/ceo and has the following contact phone number (662) 328-8001.

The enumeration date for this NPI number is 3/10/2010 and was last updated on 3/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1860-79MISSISSIPPINo
21223G0001XDentistGeneral Practice3160-00MISSISSIPPINo
31223G0001XDentistGeneral Practice3463-08MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102150825MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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