Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 0401007897 | VA |
N | 1223P0106X | Oral and Maxillofacial Pathology | 0438000177 | VA |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 0438000177 | VA |
NPI | 1144236100 |
---|---|
Provider Name | Dr. David Paul Mueller |
First Address | Virginia Beach, VA 23454-2432 |
Second Address | Virginia Beach, VA 23454-3171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 29/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15477 | OPTIMA HEALTH INS (01) | VA |
244947 | ANTHEM BC/BS (01) | VA |
828056 | UNITED CONCORDIA INS (01) | VA |
U49445 | (02) | VA |