MAGNOLIA DENTAL COMPANY PLLC NPI 1164159398

NPI Information

NPI: 1164159398
Provider Name: MAGNOLIA DENTAL COMPANY, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
521 CAPE CORAL PKWY W
CAPE CORAL, FL
ZIP 33914
Phone: (239) 542-1500
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MAGNOLIA DENTAL COMPANY, PLLC is a dental clinic center in Cape Coral, FL. MAGNOLIA DENTAL COMPANY, PLLC NPI is 1164159398. The provider is registered as an organization entity type.

The provider's business location address is:

521 CAPE CORAL PKWY W
CAPE CORAL, FL
ZIP 33914-507
Phone: (239) 542-1500

The provider's authorized official is Sean Wesley Coyle .
The authorized official title is Owner Dentist and has the following contact phone number (239) 542-1500.

The enumeration date for this NPI number is 8/8/2022 and was last updated on 8/8/2022.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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