LANA L. MAMUT DMD PC NPI 1437487550

NPI Information

  • NPI: 1437487550
  • Provider Name: LANA L. MAMUT, DMD, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: FAMILY DENTISTRY OF FORSYTH
  • Address: 3130 MATHIS AIRPORT PKWY
    STE 309
    SUWANEE, GA
    ZIP 30024
  • Phone: (404) 579-0519

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NPI Details

LANA L. MAMUT, DMD, PC is a dental clinic center in Suwanee, GA. LANA L. MAMUT, DMD, PC NPI is 1437487550. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Dentistry Of Forsyth.

The provider's business location address is:

3130 MATHIS AIRPORT PKWY
STE 309
SUWANEE, GA
ZIP 30024-131
Phone: (404) 579-0519

The provider's authorized official is Lana Lvovna Mamut .
The authorized official title is Owner Dentist and has the following contact phone number (404) 579-0519.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 7/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDN012943GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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