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Active NPI 1932865714 Individual Practitioner Male Practitioner

Dr. Venkata Mohan K Mutnuri , DDS

Dentist - Prosthodontics • Keller, TX

Professional Overview & Biography Verified Profile Summary

Dr. Venkata Mohan Mutnuri, DDS is a registered healthcare professional specializing in Dentist - Prosthodontics in Keller, TX. Practice services are available at 1141 KELLER PKWY STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1141 Keller Pkwy Ste B

Keller, TX 762481628

Telephone 8177530226

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Keller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Keller, TX (350 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: 2021-11-16
Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License TX 37586

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Omar Abdelbaky , DDS, MD

Oral & Maxillofacial Surgery

NPI 1669827184

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Kylie Steimer , PA-C

Physician Assistant - Medical

NPI 1871116608

Physician Assistant (Certified)

Dr. Kristine Buffington , PsyD

Psychologist - Clinical

NPI 1902316979

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2021

Registered at 1141 KELLER PKWY STE B, KELLER, TX 762481628 (Tel: 8177530226)

📍
Updated Business Mailing Address November 16, 2021

Registered at 880 S COIT RD APT 905, PROSPER, TX 750783011 (Tel: 2019700273)

👤
Provider Name / Credentials Updated November 16, 2021

Recorded as VENKATA MOHAN MUTNURI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2021

Dentist (License #37586 in TX)

🟢
Initial NPI Registration & Enumeration November 16, 2021

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: 1932865714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2021
Last Update: November 16, 2021
Sole Proprietor: No

Mailing Address

880 S Coit Rd Apt 905

Prosper, TX 750783011

Phone: 2019700273

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.