Lana L. Mamut, Dmd, PC
Clinic/Center, Dental in Suwanee, GA. Organization (NPI-2).
NPI number1437487550
StatusActive
Last updated in NPPESJul 29, 2013
Details
- NPI
- 1437487550
- Entity type
- Organization (NPI-2)
- Legal business name
- Lana L. Mamut, Dmd, PC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2009
- Last updated
- Jul 29, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | DN012943 | GA | Yes |
Other names
- Family Dentistry Of Forsyth (Doing Business As)
Practice location
3130 Mathis Airport PkwySte 309
Suwanee, GA 30024-9131
Phone 404-579-0519
Mailing address
3130 Mathis Airport PkwySte 309
Suwanee, GA 30024-9131
Phone 404-579-0519
Authorized official
Lana Lvovna Mamut
Owner Dentist
4045790519
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dental Clinic/Center providers in Suwanee, GA
- Dentistry 4 You LLCNPI 1538318944
- Dentistry Of SuwaneeNPI 1467162057
- Gwinnett Dental Studio LLCNPI 1720990476
- Jyk Dental Group LLCNPI 1770378994
- Katherine K. Yi, DDS, PCNPI 1467339440
- Robert A Finkel DDS PCNPI 1720508294
- Smile Haven, LLCNPI 1649057100
- Sugarloaf Childrens DentistryNPI 1043042591
- Terry J. Lemons, DDS, PCNPI 1154904027
All 10 Dental Clinic/Center providers in Suwanee · All 2,103 providers in Suwanee
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.