MAGNOLIA FAMILY DENTISTRY PLLC (NPI# 1366074890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366074890 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA FAMILY DENTISTRY PLLC |
| Practice Address |
610 Melton St Ste 300 Magnolia TX 77354-2366 |
| Mailing Address |
15318 Amesbury Ln Sugar Land TX 77478-4180 |
| Practice Telephone | 8168785624 |
| Mailing Telephone | 8168785624 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | MUJIB MUQUIM ASHRAFI (OWNER) |
| Authorized Official Telephone | 7134573445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| My Dental of Magnolia | Doing Business As Name - Organization |
| Street Address |
610 MELTON ST STE 300 |
| City | MAGNOLIA |
| State | TX |
| Zip Code | 77354-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646771 | Alex Chu | Dentist | 4849 Farm To Market Rd 1488, Suite #800, Magnolia, TX 77354 | 2020-07-21 |
| 1548886948 | Alexander M Beltran | Dentist | 18640 Farm To Market Rd 1488, Suite I, Magnolia, TX 77354 | 2020-06-22 |
| 1710524079 | Keegen Jonelle Barboo | Physician Assistant | 6022 Farm To Market Rd, 1488, Magnolia, TX 77354 | 2019-12-05 |
| 1467097931 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 5667 Fm 1488, Magnolia, TX 77354 | 2019-11-08 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1861909855 | Hays Nichols | Physical Therapy Assistant | Grand Estates 30000 Fm 2978, Apt 532, Magnolia, TX 77354 | 2017-12-29 |
| 1417492620 | Yos Healthcare Services Inc | Home Health | 15 Springtime Creek Dr., The Woodlands, TX 77354 | 2016-12-23 |
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1861813438 | Sandstone Chiropractic Magnolia, Pllc | Chiropractor | 6875 Fm 1488, Suite 1300, Magnolla, TX 77354 | 2013-12-26 |
| 1467897447 | America's Er Site 001, LLC | Clinic/Center | 32784 Fm 2978, Suite A, Magnolia, TX 77354 | 2013-05-06 |
| Find all providers in zip 77354 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508351016 | Trinity Magnolia Dental Pllc | Dentist | 18640 Fm 1488 Rd Ste I, Magnolia, TX 77354-8517 | 2018-06-27 |
| 1982197083 | Anam Khan | Dentist | 6209 Fm 1488 Rd # M, Magnolia, TX 77354-2508 | 2018-06-13 |
| 1780021956 | Imaging Center of Magnolia Pllc | Dentist | 827 Magnolia Blvd Ste 2, Suite B, Magnolia, TX 77355-8553 | 2013-05-29 |
| 1609123587 | Sarah Wood Norman | Dentist | 7030 Fm 1488 Rd, Suite 200, Magnolia, TX 77354-6771 | 2012-08-09 |
| 1881858017 | Troy C Bonin | Dentist | 5403 Fm 1488 Rd, Ste A-7 (republic of Texas), Magnolia, TX 77354-2524 | 2008-07-16 |
| 1295927770 | Michael Gillogly | Dentist | 6606 Fm 1488 Rd Ste 136, Magnolia, TX 77354-2545 | 2007-08-17 |
| 1952507022 | An Xuan Tran | Dentist | 540 Fresno Drive, Magnolia, NJ 08049 | 2007-06-25 |
| 1033327499 | Robert Mark Tamborello | Dentist | 5403 Fm 1488, #7, Magnolia, TX 77354 | 2007-05-18 |
| 1811104748 | Nancy Goettee Sawyer | Dentist | 18252 Fm 1488 Rd, #120, Magnolia, TX 77354-8506 | 2007-05-17 |
| 1760550479 | James W Rotton Dds Pa | Dentist | 222 North Pine, Suite 4, Magnolia, AR 71753 | 2006-12-01 |
| Find all providers in MAGNOLIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.