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Magnolia Dental

General Practice Dentistry in Chillicothe, OH · enumerated 2010 · authorized official Bryan Basom, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104134881

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Registry record

Entity type Organization (Type 2)
Legal business name Magnolia Dental
Practice address 11 Medical Dr, Chillicothe, OH, 45601
Fax (740) 775-8053
Enumeration date Sep 16, 2010
Last updated in NPPES Sep 16, 2010

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 30022613 (OH) Primary

Authorized official

Name Bryan Basom
Title Owner/Dentist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-09-16. Verify at npiregistry.cms.hhs.gov.
Where is Magnolia Dental located?
The practice location on file with NPPES is in Chillicothe, OH.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-16.