Organization · Type 2 NPI
Magnolia Orthodontics of Petal, PLLC
Orthodontics and Dentofacial Orthopedics Dentistry · Petal, MS
Practice location
35 Beech Ln
Petal, MS 39465-9457
Fax (601) 305-9977
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1629911698
Magnolia Orthodontics of Petal, PLLC's National Provider Identifier is 1629911698, issued on Apr 13, 2026. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Petal, MS. The record was last updated on Apr 13, 2026.