MEDICARE: MCKAYELA MUELLER RDH

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
1	124Q00000X	Dental Hygienist	H010019	AZ

General Provider Information

NPI Number	:	1598695942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCKAYELA MUELLER RDH

Provider Business Mailing Address
First Line	:	21337 E SUPERSTITION DR
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-0659
Country	:	US
Telephone Number	:	480-353-0178
Fax Number	:

Provider Business Practice Location Address
First Line	:	21337 E SUPERSTITION DR
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-0659
Country	:	US
Telephone Number	:	480-353-0178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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