Individual provider · Type 1 NPI

Praveena Muddana

General Practice Dentistry · Oak Creek, WI

NPI number 1376806893 Active

Practice location

8241 S Howell Ave, Suite 100
Oak Creek, WI 53154-8346

Mailing address

PO Box 3189
Syracuse, NY 13220-3189

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6931-15 (WI)

General Practice Dentistry: 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.

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About NPI 1376806893

Praveena Muddana's National Provider Identifier is 1376806893, issued on Jun 19, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oak Creek, WI. The record was last updated on Jun 19, 2012.