# MAGNOLIA FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093650418
- **Authorized official:** JESSICA SMITH JESSICA SMITH (OWNER)
- **Authorized official phone:** (804) 382-6093

## Contact information

- **Practice address:** 5161 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6258
- **Practice address phone:** (804) 744-9051
- **Practice address fax:** (804) 744-9053
- **Mailing address:** 5161 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6258
- **Mailing address phone:** (804) 744-9051
- **Mailing address fax:** (804) 744-9053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2026
- **Last updated:** 04/22/2026