NPI age
16 years
Enumerated 2009-12-01
● Active Type 2 · Organization
Lana L. Mamut, Dmd, Pc
Lana L. Mamut, Dmd, Pc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mamut
Owner Dentist
Last NPPES update
2013-07-29
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
16 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
3130 Mathis Airport Pkwy, Ste 309
Suwanee, GA 300249131
Mailing address
3130 Mathis Airport Pkwy, Ste 309
Suwanee, GA 300249131
Authorized official
Lana Lvovna Mamut, DMD
Owner Dentist
📞 4045790519
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Lana Mamut, DMD Dentist NPI 1578731907
- Sanjay Shukla, MD Family Medicine NPI 1942272935
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Family Dentistry of Forsyth
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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