Organization · Type 2 NPI

Magnolia Lane Dental of O Fallon LLC

General Practice Dentistry · O Fallon, MO

NPI number 1285560847 Active

Practice location

608 Woodlawn Ave
O Fallon, MO 63366-2521

Call (217) 779-4029 Map

Mailing address

104 Sunnyside Estates Ct
Dardenne Prairie, MO 63368-7617

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1285560847

Magnolia Lane Dental of O Fallon LLC's National Provider Identifier is 1285560847, issued on Jun 22, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in O Fallon, MO. The record was last updated on Jun 22, 2026.