Active NPIOrganization

Magnolia Dental PLLC

Dentist, General Practice in Ellsworth, Maine

NPI Number1174422869
Practice location
192 Main St, Op4, Ellsworth, ME 04605-1976
Fax
—
Last updated
November 2, 2026

Magnolia Dental PLLC is a healthcare organization based in Ellsworth, ME. Magnolia Dental PLLC practices in Ellsworth, ME. The NPI Number for Magnolia Dental PLLC is 1174422869. The current practice location address for Magnolia Dental PLLC is 192 Main St, Op4, Ellsworth, ME 04605-1976 and can be reached out via phone at 425-246-5305.

Provider Profile Details

NPI Number
1174422869
Provider Name
Magnolia Dental PLLC
Provider Entity Type
Organization
Address
192 Main St, Op4, Ellsworth, ME 04605-1976
Phone Number
425-246-5305
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Nikole Novikova, DMD, MPH · Owner/Dentist · 415-246-5305
Provider Enumeration Date
November 2, 2026
Last Update Date
November 2, 2026
Certification Date
November 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
192 Main St
Op4
Ellsworth, ME 04605-1976
State
Maine
Zip
04605-1976
Phone Number
425-246-5305
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
17 Water St
Milbridge, ME 04658-3217
City
Milbridge
State
ME
Zip
04658-3217

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Magnolia Dental PLLC?

The NPI number of Magnolia Dental PLLC is 1174422869. It was assigned on November 2, 2026 and is currently active in the NPPES registry.

What is the specialty of Magnolia Dental PLLC?

Magnolia Dental PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Magnolia Dental PLLC practice?

The practice location is 192 Main St, Op4, Ellsworth, ME 04605-1976. The office can be reached at 425-246-5305 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174422869 directly on the NPPES registry website.

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