Dr Mukti Gunvant Prema, DDS - Dentist in Loganville, GA

Dr Mukti Gunvant Prema, DDS is a Dentist - Pediatric Dentistry based in Loganville, Georgia. Dr Mukti Gunvant Prema is licensed to practice in Georgia (license number DN122875) and her current practice location is 2101 Baker Carter Dr Ste 200, Loganville, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 661-5161.

NPI number for Dr Mukti Gunvant Prema is 1306414537 and her current mailing address is 5461 Oak Chase Dr, Antioch, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306414537.

Contact Information

Dr Mukti Gunvant Prema, DDS
2101 Baker Carter Dr Ste 200,
Loganville, GA 30052-7466
(678) 661-5161
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Mukti Gunvant Prema
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location2101 Baker Carter Dr Ste 200, Loganville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306414537
  • Provider Enumeration Date: 06/14/2021
  • Last Update Date: 07/26/2023

Medical Identifiers

Medical identifiers for Dr Mukti Gunvant Prema such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306414537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry DN122875 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mukti Gunvant Prema is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mukti Gunvant Prema, DDS
5461 Oak Chase Dr,
Antioch, TN 37013-4250

Ph: (615) 612-8985
Dr Mukti Gunvant Prema, DDS
2101 Baker Carter Dr Ste 200,
Loganville, GA 30052-7466

Ph: (678) 661-5161

Reviews and Comments


Dentist in Loganville, GA

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Medicare: Not Enrolled in Medicare
Practice Location: 4325 Atlanta Hwy, Suite 9, Loganville, GA 30052
Phone: 770-466-0918    

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