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Active NPI 1578731907 Individual Practitioner Female Practitioner

Dr. Lana Lvovna Mamut , DMD

Dentist - General Practice • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Dr. Lana Mamut, DMD is a registered healthcare professional specializing in Dentist - General Practice in Suwanee, GA. Practice services are available at 3130 MATHIS AIRPORT PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3130 Mathis Airport Pkwy
Ste 309

Suwanee, GA 300249131

Telephone 4045790519
Associated Practice Facility / Clinic
🏢 Lana L. Mamut, Dmd, Pc Facility NPI 1437487550

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Suwanee, GA

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

Practicing in Suwanee, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN012943

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

1 Associated Practitioners
Dr. Sanjay Shukla , MD

Family Medicine

NPI 1942272935

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active December 01, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2009

Registered at 3130 MATHIS AIRPORT PKWY, STE 309, SUWANEE, GA 300249131 (Tel: 4045790519)

📍
Updated Business Mailing Address December 01, 2009

Registered at 3130 MATHIS AIRPORT PKWY, STE 309, SUWANEE, GA 300249131 (Tel: 4045790519)

👤
Provider Name / Credentials Updated December 01, 2009

Recorded as LANA MAMUT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2009

Dentist (License #DN012943 in GA)

🟢
Initial NPI Registration & Enumeration February 19, 2008

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: 1578731907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2008
Last Update: December 01, 2009
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3130 Mathis Airport Pkwy, Ste 309

Suwanee, GA 300249131

Phone: 4045790519

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.