MAGNOLIA DENTAL NPI 1508218876

NPI Information

  • NPI: 1508218876
  • Provider Name: MAGNOLIA DENTAL
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • CLIA Number: 42D0953411
  • Address: 119 W ANTRIM DR
    GREENVILLE, SC
    ZIP 29607
  • Phone: (864) 242-2848

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NPI Details

MAGNOLIA DENTAL is a dental clinic center in Greenville, SC. MAGNOLIA DENTAL NPI is 1508218876. The provider is registered as an organization entity type.

The provider's business location address is:

119 W ANTRIM DR
GREENVILLE, SC
ZIP 29607-505
Phone: (864) 242-2848

The provider's authorized official is Brigette N Zebro .
The authorized official title is General Dentist and has the following contact phone number (864) 242-2848.

The CLIA number assigned to this NPI record is 42D0953411 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 7/11/2016.

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
1261QD0000XClinic/CenterDental6914SOUTH CAROLINAYes

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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