Healthcare Provider Details

I. General information

NPI: 1144634114
Provider Name (Legal Business Name): JAMES MUSCARI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4466 W ANDREW JOHNSON HWY STE 2
MORRISTOWN TN
37814-8208
US

IV. Provider business mailing address

4466 W ANDREW JOHNSON HWY STE 2
MORRISTOWN TN
37814-8208
US

V. Phone/Fax

Practice location:
  • Phone: 423-759-7050
  • Fax: 423-759-7055
Mailing address:
  • Phone: 423-759-7050
  • Fax: 423-759-7055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number10211
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number3992
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: