Individual provider · Type 1 NPI
Randy Earl Muccioli, DMD
Prosthodontics · Johns Creek, GA
Practice location
6300 Hospital Pkwy, Suite 275
Johns Creek, GA 30097-1828
Fax (678) 389-9952
Mailing address
6300 Hospital Parkway, Suite 275, Muccioli Dental
Johns Creek, GA 30097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | DN014379 (GA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1346229614
Randy Earl Muccioli, DMD's National Provider Identifier is 1346229614, issued on Jan 13, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Johns Creek, GA. The record was last updated on Jan 22, 2013.