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MUCCIOLI DENTAL, PC
NPI 1558796896
Dentist - General Practice in Johns Creek, GA

Active since September 05, 2013
6300 HOSPITAL PKWY, SUITE 275, JOHNS CREEK, GA 30097(678) 389-9955(678) 389-9952 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Muccioli Dental, Pc NPPES

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

MUCCIOLI DENTAL, PC (NPI 1558796896) is a healthcare organization registered as a general practice in Johns Creek, Georgia and active in the NPI registry since September 2013. The organization lists Randy Earl Muccioli, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1558796896
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMUCCIOLI DENTAL, PC
Location Address6300 HOSPITAL PKWY, SUITE 275Johns Creek, GA 30097-1828
Mailing Address6300 Hospital Pkwy, Suite 275Johns Creek, GA 30097-1828 · (678) 389-9955 · Fax (678) 389-9952
Phone(678) 389-9955
Fax(678) 389-9952
Organization SubpartNo
Authorized OfficialRandy Earl MuccioliOwner/dentist · (678) 389-9955
Enumeration DateSeptember 5, 2013
✔ NPI 1558796896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN014378
Definition
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.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License DN014379 (GA)
6300 HOSPITAL PKWY, Johns Creek, GA 30097
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JESSICA BETH MILLER DPT
Physical Therapist
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4261
DIGESTIVE CARE PHYSICIANS, LLC
Specialist
6300 HOSPITAL PKWY, SUITE 450
JOHNS CREEK, GA 30097
Gwinnett County (770) 227-2222
DR. ROBERT CARL WALDROP M.D.
Psychiatry & Neurology (Neurology)
6300 HOSPITAL PKWY, SUITE 260
JOHNS CREEK, GA 30097
Gwinnett County (770) 454-4685
JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C.
Dermatology
6300 HOSPITAL PKWY, STE 100
JOHNS CREEK, GA 30097
Gwinnett County (770) 771-6591
MR. SCOTT DAVID LONTZ PA
Physician Assistant
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4261
WILLIAM JAY LICHTENFELD M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4261
PROF. TAMIKO LIN D'ELENA PA-C
Physician Assistant
6300 HOSPITAL PKWY, STE 450
JOHNS CREEK, GA 30097
Gwinnett County (770) 227-2222
ORTHOATLANTA, LLC
Orthopaedic Surgery
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4261

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 Muccioli Dental, PC's NPI number?

The NPI number for Muccioli Dental, PC is 1558796896. It was assigned to this organization in the NPPES registry on September 5, 2013.

Where is Muccioli Dental, PC located?

Muccioli Dental, PC is located at 6300 Hospital Pkwy Suite 275, Johns Creek, GA 30097. The listed phone number is (678) 389-9955.

What is Muccioli Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Muccioli Dental, PC was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.