Magnolia Lane Ga Partners Llc
General Practice
1235 Robinson Rd Ste H, Peachtree City
Georgia, 30269-3832
770-487-1880 770-487-1851
Magnolia Lane Ga Partners Llc is a General Practice in Peachtree City, Georgia. It is located at 1235 Robinson Rd Ste H, Peachtree City and it's customer support contact number is 770-487-1880. The authorized person of Magnolia Lane Ga Partners Llc is Dr. Jacqueline Delash, DMD, MPH, MBA, D. AB who is Owner of this DME and his contact number is 770-336-7074. Magnolia Lane Ga Partners Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Magnolia Lane Ga Partners Llc is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
DME Supplier Details:
Magnolia Lane Ga Partners Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Magnolia Lane Ga Partners Llc |
| Type: | General Practice |
| Location: | 1235 Robinson Rd Ste H, Peachtree City,
Georgia, 30269-3832 |
| Phone: | 770-487-1880 |
| Fax: | 770-487-1851 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jacqueline Delash |
| Credentials: | DMD, MPH, MBA, D. AB |
| Position: | Owner |
| Contact Number: | 770-336-7074 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1194542928 |
| NPI Enumeration Date: | 23 Sep, 2024 |
| NPI Last Update On: | 24 Nov, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Magnolia Lane Ga Partners Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Customized Equipment | | | Secondary | |
Medicare Enrollment:
Magnolia Lane Ga Partners Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2062930167 | O20250513000754 | Magnolia Lane Ga Partners Llc | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1235 Robinson Rd Ste H,
Peachtree City, Georgia |
| Zip: | 30269-3832 |
| Phone Number: | 770-487-1880 |
| Fax Number: | 770-487-1851 |
Patients can reach Magnolia Lane Ga Partners Llc at
1235 Robinson Rd Ste H, Peachtree City, Georgia or can
call on customer care at 770-487-1880.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.