OrganizationActive
Magnolia Dental
NPI 1104134881 · General Practice Dentistry · Chillicothe, OH
Magnolia Dental is a General Practice Dentistry organization in Chillicothe, OH (NPI 1104134881).
Provider details
- NPI number
- 1104134881
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bryan Basom, Owner/Dentist(740) 775-8050
- License
- 30022613 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
11 Medical Dr
Chillicothe, OH 45601-8603
Phone: (740) 775-8050
Fax: (740) 775-8053
Street-level locationGet directions
Mailing address
11 Medical Dr
Chillicothe, OH 45601-8603
Registry dates
- Enumerated
- 2010-09-16
- Last updated
- 2010-09-16
Frequently asked questions
- What is Magnolia Dental's NPI number?
- Magnolia Dental's National Provider Identifier (NPI) is 1104134881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Dental?
- Magnolia Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Magnolia Dental located?
- Magnolia Dental's practice location on file with NPPES is 11 Medical Dr, Chillicothe, OH 45601-8603.
- What is Magnolia Dental's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Dental is (740) 775-8050.
- Who is the authorized official for Magnolia Dental?
- The authorized official listed on Magnolia Dental's NPPES record is Bryan Basom, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Dental's NPI active?
- Yes — Magnolia Dental's NPI (1104134881) is active in the NPPES registry as of the last update on 2010-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.