Thulasiswarnalatha Muppuru, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN016017 Issued in GA

Practice address

3590 Braselton Hwy Ste 201
Dacula, GA 30019-1120

Phone

(678) 714-7575

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• HS Smiles,LLC

  • General Practice Dentistry
  • West Redding, CT
  • NPI 1902324650
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1376856971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 SANDOWN CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300411589",
            "telephone_number": "609-529-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 BRASELTON HWY STE 201",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191120",
            "telephone_number": "678-714-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUPPURU",
        "first_name": "THULASISWARNALATHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10318",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iman Moton
• James R Moulton II, M.D.
• Hala Muhanna, PHARM.D.
• Mulberry Primary Care LLC
• Multi-Lingual Speech Group, LLC
• Tyler Joseph Musselwhite, PT
• Clare Mutters, PTA
• Tina Maambo Mwale, RN
• N.E.a Healthcare
• N8 Health, LLC

• General Practice Dentistry in Dacula, GA
• Providers in Dacula, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.