Deepthi Mundra, DDS

General Practice Dentistry · Forest, MS

Individual Active NPI

NPI number 1396006458

Practice location

Smile Care, PLLC
1237 Highway 35 S
Forest, MS 39074-8830
Phone
(601) 469-8266
Fax
(601) 469-8294

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NPI record

NPI
1396006458
Entity type
Individual (Type 1)
Enumeration date
June 6, 2012
Last updated
December 7, 2021
Certified
December 7, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6907-15 WI

Mailing address

102 Chilton Pl
Madison, MS 39110-7810
Phone
(773) 844-3439

Other practice locations (1)

  • 1721 S Main St, West Bend, WI 53095-4937 · (262) 346-2020

About Dr. Mundra

Deepthi Mundra, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is Smile Care, PLLC, 1237 Highway 35 S, Forest, MS 39074-8830. The NPI number 1396006458 was assigned on June 6, 2012 and the record was last updated on December 7, 2021.

Dr. Mundra lists a license in the registry: #6907-15 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deepthi Mundra, DDS?

The NPI number is 1396006458.

What is the phone number of Dr. Mundra?

The phone number listed for the practice location is (601) 469-8266.

Where is Dr. Mundra located?

Smile Care, PLLC, 1237 Highway 35 S, Forest, MS 39074-8830.

What is the taxonomy code for Dr. Mundra?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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