Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Muccioli Dental, PC

Organization General Practice Dentistry · NPI 1558796896

Muccioli Dental, PC is a General Practice Dentistry in Johns Creek, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6300 Hospital Pkwy Ste 275
Johns Creek, GA 30097-1828
Phone: (678) 389-9955
Fax: (678) 389-9952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN014378 (GA)
Prosthodontics Taxonomy 1223P0700X · Licence DN014379 (GA)

Record details

NPI number1558796896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Muccioli — Owner/Dentist · (678) 389-9955
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 5, 2013
Mailing address6300 Hospital Pkwy, Suite 275, Johns Creek, GA 30097-1828

Other providers in Johns Creek