DR. MAGNOLIA PEDRAZA D.M.D. M.S. NPI 1689746281

NPI Information

NPI: 1689746281
Provider Name: DR. MAGNOLIA PEDRAZA, D.M.D., M.S.
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
241 W WEAVER RD
SUITE 220
FORSYTH, IL
ZIP 62535
Phone: (217) 876-0547
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DR. Magnolia Pedraza, D.M.D., M.S. is a periodontics dentist in Forsyth, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Magnolia Pedraza, D.M.D., M.S. NPI is 1689746281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

241 W WEAVER RD
SUITE 220
FORSYTH, IL
ZIP 62535-762
Phone: (217) 876-0547
Fax: (217) 876-0601

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/8/2007.

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	1223P0300X	Dentist	Periodontics	021.001709 019.02272	ILLINOIS	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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