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

Dr. Supraja Mundla, DMD

Individual provider General Practice Dentistry · NPI 1770637688

Dr. Supraja Mundla, DMD is a General Practice Dentistry in Canton, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5970 N Lilley Rd
Canton, MI 48187-3625
Phone: (734) 981-5455
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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 2901018754 (MI)

Record details

NPI number1770637688
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 20, 2022

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