Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Orthodontics of Petal, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1629911698

Magnolia Orthodontics of Petal, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Petal, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

35 Beech Ln
Petal, MS 39465-9457
Phone: (601) 305-9955
Fax: (601) 305-9977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1629911698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Kimbrough — Owner · (601) 466-8562
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address35 Beech Ln, Petal, MS 39465-9457