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NPI Code Detail

MEDICARE: DR. TRAVIS LEE MUELLER DDS

MEDICARE:  DR. TRAVIS LEE MUELLER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401008800VA

General Provider Information

NPI Number : 1427112721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRAVIS LEE MUELLER DDS
Provider Business Mailing Address
First Line : 3424 LAUDERDALE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23233-7528
Country : US
Telephone Number : 804-360-1800
Fax Number : 804-360-1059
Provider Business Practice Location Address
First Line : 3424 LAUDERDALE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23233-7528
Country : US
Telephone Number : 804-360-1800
Fax Number : 804-360-1059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TRAVIS LEE MUELLER DDS” Practice Location

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