Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDY EARL MUCCIOLI, DMD
ActiveDR. RANDY EARL MUCCIOLI, DMD is a Pediatric Dentistry healthcare provider located in JOHNS CREEK, Georgia. NPI 1346229614 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · JOHNS CREEK, GA
Registration Details
- NPI Number
- 1346229614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2006 (20.611947868601 yrs)
- Last Updated
- Jan 22, 2013
- License
-
DN014379 (GA)
Practice Information
- Address
-
6300 HOSPITAL PKWYSUITE 275JOHNS CREEK, GA, 300971828Browse GA providers · Browse ZIP 30097
- Phone
- 6783899955
- Fax
- 6783899952
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
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.