Provider Demographics
NPI:1124243225
Name:MULLER, JEFFREY AUGUSTINE (DDS)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:AUGUSTINE
Last Name:MULLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16151 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2560
Mailing Address - Country:US
Mailing Address - Phone:562-902-5733
Mailing Address - Fax:562-902-5746
Practice Address - Street 1:16151 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2560
Practice Address - Country:US
Practice Address - Phone:562-902-5733
Practice Address - Fax:562-902-5746
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA280491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice