Healthcare Provider Details

I. General information

NPI: 1487725073
Provider Name (Legal Business Name): JAMES HARRY MUELLER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12550 W THUNDERBIRD RD SUITE 114
EL MIRAGE AZ
85335-4918
US

IV. Provider business mailing address

12550 W THUNDERBIRD RD SUITE 114
EL MIRAGE AZ
85335-4918
US

V. Phone/Fax

Practice location:
  • Phone: 623-583-9448
  • Fax: 623-583-1515
Mailing address:
  • Phone: 623-583-9448
  • Fax: 623-583-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number5209
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: