Dr. Deepthi Mundra, DDS
Dentist, General Practice in Forest, MS. Individual provider (NPI-1).
NPI number1396006458
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1396006458
- Entity type
- Individual (NPI-1)
- Name
- Dr. Deepthi Mundra
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2012
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6907-15 | WI | Yes |
Practice location
Smile Care, PLLC1237 Highway 35 S
Forest, MS 39074-8830
Phone 601-469-8266 · Fax 601-469-8294
Mailing address
102 Chilton PlMadison, MS 39110-7810
Phone 773-844-3439
Other practice locations
1721 S Main St
West Bend, WI 53095-4937
West Bend, WI 53095-4937
Phone 262-346-2020
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