Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MUKTI GUNVANT PREMA, DDS
Active Sole ProprietorDR. MUKTI GUNVANT PREMA, DDS is a Pediatric Dentistry healthcare provider located in LOGANVILLE, Georgia. NPI 1306414537 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LOGANVILLE, GA
Registration Details
- NPI Number
- 1306414537
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2021 (5.1826226216995 yrs)
- Last Updated
- Jul 26, 2023
- License
-
DN122875 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2101 BAKER CARTER DR STE 200LOGANVILLE, GA, 300527466Browse GA providers · Browse ZIP 30052
- Phone
- 6786615161
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MITHYA NEMAKAL | DDS | 1225342256 |
| OMOWUNMI ONI | DMD | 1306530191 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.