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

Southern Magnolia Dentistry, LLC

Organization Pediatric Dentistry · NPI 1598545386

Southern Magnolia Dentistry, LLC is a Pediatric Dentistry in Alexandria, Louisiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3215 Masonic Dr
Alexandria, LA 71301-4246
Phone: (318) 229-3121
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1598545386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Akeele Johnson-Vallot — Owner · (318) 229-3121
Other names Southern Magnolia Dentistry; Southern Magnolia Dentistry
NPI enumeratedSeptember 29, 2023
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address3215 Masonic Dr, Alexandria, LA 71301-4246

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