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Contact Information

SPANDANA MUKKA, DDS
2040 LAQUESTA DRIVE
NEOSHO, MO64850
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SPANDANA MUKKA · (Female)

NPI # 1417333881
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/07/2015
Last updated 04/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 11377
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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