Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376856971 Individual Practitioner Female Practitioner

Dr. Thulasiswarnalatha Muppuru , DDS

Dentist - General Practice • Dacula, GA

Professional Overview & Biography Verified Profile Summary

Dr. Thulasiswarnalatha Muppuru, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dacula, GA. Practice services are available at 3590 BRASELTON HWY STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3590 Braselton Hwy Ste 201

Dacula, GA 300191120

Telephone 6787147575
Associated Practice Facility / Clinic
🏢 Samuel S Kwon Dmd Pc Facility NPI 1457476608

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dacula, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Dacula, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN016017

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CT 10318

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Sam Kwon , DMD

Dentist - Pediatric Dentistry

NPI 1013054402

Doctor of Dental Medicine

NPI 1184932857

DENTALASSISTANT

Dr. Shaki Jameson , DMD

Dentist - Pediatric Dentistry

NPI 1306072533

Doctor of Dental Medicine

Dr. Suhyun Rue , DMD

Dentist - Pediatric Dentistry

NPI 1619203049

Doctor of Dental Medicine

Dr. Grace Kwon , DMD

Dentist - Pediatric Dentistry

NPI 1750954608

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2021

Dentist (License #DN016017 in GA)

📍
Updated Practice Location August 09, 2021

Registered at 3590 BRASELTON HWY STE 201, DACULA, GA 300191120 (Tel: 6787147575)

📍
Updated Business Mailing Address August 09, 2021

Registered at 2565 SANDOWN CT, CUMMING, GA 300411589 (Tel: 6095298935)

NPI Profile Active September 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2017

Registered at 54 MAIN ST, DANBURY, CT 068103009 (Tel: 8603560057)

📍
Updated Business Mailing Address September 01, 2017

Registered at 32 CALDWELL TER, DANBURY, CT 068105193 (Tel: (609) 529-8935)

👤
Provider Name / Credentials Updated September 01, 2017

Recorded as THULASISWARNALATHA MUPPURU, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2017

Dentist (License #10318 in CT)

NPI Profile Active July 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2010

Registered at 531 ELM ST, NEW HAVEN, CT 065114549 (Tel: 8603560057)

📍
Updated Business Mailing Address July 23, 2010

Registered at 1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 300676405 (Tel: 6789045665)

👤
Provider Name / Credentials Updated July 23, 2010

Recorded as THULASISWARNALATHA MUPPURU, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2010

Dentist (License #10318 in CT)

🟢
Initial NPI Registration & Enumeration July 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376856971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2010
Last Update: September 10, 2021
Sole Proprietor: No

Mailing Address

2565 Sandown Ct

Cumming, GA 300411589

Phone: 6095298935

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.