Provider Demographics
NPI:1295517720
Name:MULLER, MITCHELL JAMES (DMD)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:JAMES
Last Name:MULLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 BISBEE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-9713
Mailing Address - Country:US
Mailing Address - Phone:217-899-0693
Mailing Address - Fax:
Practice Address - Street 1:1641 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2643
Practice Address - Country:US
Practice Address - Phone:336-887-3168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001347-15122300000X
NC143531223X2210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X2210XDental ProvidersDentistOrofacial PainGroup - Single Specialty
No122300000XDental ProvidersDentist