| Magnolia Orthodontics Of Petal, Pllc | |
|
35 Beech Ln Petal MS 39465-9457 | |
| (601) 305-9955 | |
| (601) 305-9977 |
| Full Name | Magnolia Orthodontics Of Petal, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 35 Beech Ln, Petal, Mississippi |
| Authorized Official Name and Position | Sarah Kimbrough (OWNER) |
| Authorized Official Contact | 6014668562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Orthodontics Of Petal, Pllc 35 Beech Ln Petal MS 39465-9457 Ph: (601) 305-9955 | Magnolia Orthodontics Of Petal, Pllc 35 Beech Ln Petal MS 39465-9457 Ph: (601) 305-9955 |
| NPI Number | 1629911698 |
|---|---|
| Provider Enumeration Date | 04/13/2026 |
| Last Update Date | 04/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629911698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Terrace Hill Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 Evelyn Gandy Parkway, Petal, MS 39465 Phone: 601-264-5756 Fax: 601-264-6200 | |
Magnolia Smiles Of Petal Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Highway 42 Ste 160-170, Petal, MS 39465 Phone: 601-735-5086 | |
Leaf River Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Evelyn Gandy Parkway, Petal, MS 39465 Phone: 601-271-8710 | |
Petal Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 S Main St, Petal, MS 39465 Phone: 601-584-9481 Fax: 601-544-5161 |