NPI age
4 years
Enumerated 2021-06-14
● Active
Type 1 · Individual
DR. Mukti Gunvant Prema, DDS
Prema is 1 of 4 dentist providers in Loganville and 1 of 539 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 539 active dentist providers in Georgia.
NPI age
4 years
↓ 12 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
2101 Baker Carter Dr Ste 200
Loganville, GA 300527466
Mailing address
5461 Oak Chase Dr
Antioch, TN 370134250
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.