OrthodontistIndex

Mukkara Hagerstown LLC

Orthodontic practice in Hagerstown, MD

Registered orthodontist

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Public-record details

Address
322 E Antietam St Ste 103, Hagerstown, MD 21740
Phone
(301) 733-1552
Listed under
Orthodontic practices
NPI
1164094330
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Orthodontics and Dentofacial Orthopedics (1223X0400X)
Authorized official
Mamata Mukkara, DMD, CAGS, DSCD, Orthodontist
NPI first issued
Jul 15, 2021
NPI record last updated
Jul 15, 2021

NPI 1164094330 is active in the federal NPPES registry (CMS) with Orthodontics and Dentofacial Orthopedics, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Orthodontists are dentists who completed an accredited orthodontic residency after dental school. General dentists can also offer braces or aligners, but they are not listed here.

View NPI 1164094330 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Orthodontics lists board-certified orthodontists.

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