Southern Magnolia Dentistry, LLC
NPI 1598545386 · Pediatric Dentistry · Alexandria, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Magnolia Dentistry, LLC is a Pediatric Dentistry organization in Alexandria, LA (NPI 1598545386).
Provider details
- NPI number
- 1598545386
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Akeele Johnson-Vallot, Owner(318) 229-3121
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Southern Magnolia Dentistry
- Doing business as
- Southern Magnolia Dentistry
Registry dates
- Enumerated
- 2023-09-29
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Frequently asked questions
- What is Southern Magnolia Dentistry, LLC's NPI number?
- Southern Magnolia Dentistry, LLC's National Provider Identifier (NPI) is 1598545386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Magnolia Dentistry, LLC?
- Southern Magnolia Dentistry, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Southern Magnolia Dentistry, LLC located?
- Southern Magnolia Dentistry, LLC's practice location on file with NPPES is 3215 Masonic Dr, Alexandria, LA 71301-4246.
- What is Southern Magnolia Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Magnolia Dentistry, LLC is (318) 229-3121.
- Does Southern Magnolia Dentistry, LLC accept Medicare?
- Southern Magnolia Dentistry, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Magnolia Dentistry, LLC?
- The authorized official listed on Southern Magnolia Dentistry, LLC's NPPES record is Akeele Johnson-Vallot, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Magnolia Dentistry, LLC's NPI active?
- Yes — Southern Magnolia Dentistry, LLC's NPI (1598545386) is active in the NPPES registry as of the last update on 2023-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.