Doctor profile · Federal record
Dr. Supraja Mundla, DMD
General Practice Dentistry · Canton, MI
- NPI 1770637688
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5970 N Lilley RD
Canton, MI 481873625
(734) 981-5455 - Mailing address
-
50723 Drakes Bay Dr
Novi, MI 483742546
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- January 21, 2022
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Michigan #2901018754
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770637688. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,802
Transactions
15
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 15 | $1,801.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
14
Patients
13
Total drug cost
$43
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 14 | 13 | $43 |
Frequently asked questions
What is Dr. Supraja Mundla's medical specialty?
Dr. Supraja Mundla practices General Practice Dentistry in Canton, MI.
Where does Dr. Supraja Mundla practice?
Dr. Supraja Mundla practices at 5970 N Lilley RD, Canton, MI 481873625. Office phone: 7349815455.
What is Dr. Supraja Mundla's NPI?
Dr. Supraja Mundla's National Provider Identifier (NPI) is 1770637688, issued by NPPES.