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

Mukkara Hagerstown LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1164094330

Mukkara Hagerstown LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Hagerstown, Maryland. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

322 E Antietam St Ste 103
Hagerstown, MD 21740-5736
Phone: (301) 733-1552
Fax: (301) 733-1553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1164094330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mamata Mukkara — Orthodontist · (617) 480-2348
NPI enumeratedJuly 15, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address7 Kilglass Ct Apt 102, Lutherville Timonium, MD 21093-7782

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