1. Home
  2. Directory
  3. Georgia
  4. Loganville
  5. Dentist
  6. NPI Profile

DR. MUKTI GUNVANT PREMA DDS
NPI 1306414537
Dentist - Pediatric Dentistry in Loganville, GA

Active since June 14, 2021
2101 BAKER CARTER DR STE 200, LOGANVILLE, GA 30052(678) 661-5161 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Jun 14, 2021 (2 updates tracked since 2021).

About Dr. Mukti Gunvant Prema Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MUKTI GUNVANT PREMA DDS (NPI 1306414537) is an individual pediatric dentistry provider in Loganville, Georgia, licensed in Georgia (DN122875) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1306414537
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MUKTI GUNVANT PREMACredential: DDS
Location Address2101 BAKER CARTER DR STE 200Loganville, GA 30052-7466
Mailing Address5461 Oak Chase DrAntioch, TN 37013-4250 · (615) 612-8985
Phone(678) 661-5161
Sole ProprietorYes
Enumeration DateJune 14, 2021
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1306414537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN122875
Definition
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.
2101 BAKER CARTER DR STE 200, Loganville, GA 30052
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITHYA NEMAKAL DDS
Dentist (Pediatric Dentistry)
2101 BAKER CARTER DR STE 200
LOGANVILLE, GA 30052
Gwinnett County (678) 783-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mukti Prema's NPI number?

The NPI number for Mukti Prema is 1306414537. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Mukti Prema located?

Mukti Prema practices at 2101 Baker Carter Dr Ste 200, Loganville, GA 30052. The listed phone number is (678) 661-5161.

What is Mukti Prema's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Mukti Prema accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Mukti Prema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mukti Prema was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.