Healthcare Provider Details

I. General information

NPI: 1386771566
Provider Name (Legal Business Name): CLAUDE DENNIS MUSE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 GRAND AVENUE
COPPERHILL TN
37317
US

IV. Provider business mailing address

PO BOX 889
COPPERHILL TN
37317
US

V. Phone/Fax

Practice location:
  • Phone: 423-496-5503
  • Fax: 423-496-9963
Mailing address:
  • Phone: 423-548-0363
  • Fax: 423-496-9963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN009693
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS0000003727
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: