Magnolia Lane Ga Partners LLC
NPI 1194542928ActiveOrganization· Dentist, General Practice· Peachtree City, GA
Dentist, General Practice in Peachtree City, Georgia, registered in NPPES in September 2024. The authorized official on file is Jacqueline Delash, DMD, MPH, MBA, D. AB, Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1194542928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2024 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Oral Surgery - Dentist (GA) |
|---|
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