OrganizationActive
Magnolia Dental, LLC
NPI 1043797152 · General Practice Dentistry · Mitchellville, MD
Provider details
- NPI number
- 1043797152
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dawn Tyler, Dentist(301) 485-5463
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10208 Lake Arbor Way
Mitchellville, MD 20721
Phone: (301) 485-5463
Street-level locationGet directions
Mailing address
10208 Lake Arbor Way
Mitchellville, MD 20721-3113
Registry dates
- Enumerated
- 2018-07-21
- Last updated
- 2019-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.