Individual provider · Type 1 NPI
Mukti Gunvant Prema, DDS
Pediatric Dentistry · Loganville, GA
NPI number
1306414537
Active
Practice location
2101 Baker Carter Dr Ste 200
Loganville, GA 30052-7466
Mailing address
5461 Oak Chase Dr
Antioch, TN 37013-4250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN122875 (GA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Loganville
About NPI 1306414537
Mukti Gunvant Prema, DDS's National Provider Identifier is 1306414537, issued on Jun 14, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Loganville, GA. The record was last updated on Jul 26, 2023.