# MAGNOLIA SMILES

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

## Provider details

- **NPI number:** 1669848891
- **Authorized official:** BENJAMIN TYLER HILL DDS (OWNER/DENTIST)
- **Authorized official phone:** (580) 745-5400

## Contact information

- **Practice address:** 1220 N WASHINGTON AVE, DURANT, OK 74701-2120
- **Practice address phone:** (580) 745-5400
- **Mailing address:** 1220 N WASHINGTON AVE, DURANT, OK 74701-2120
- **Mailing address phone:** (580) 745-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6270 | OK | Yes |

## Other

- **Enumeration date:** 08/11/2015
- **Last updated:** 08/11/2015