Provider Demographics
NPI:1386726792
Name:MUEHLECK, JAMES K (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:K
Last Name:MUEHLECK
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 1:25 CLEVELAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-2935
Mailing Address - Country:US
Mailing Address - Phone:276-632-6219
Mailing Address - Fax:276-632-5575
Practice Address - Street 1:25 CLEVELAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-2935
Practice Address - Country:US
Practice Address - Phone:276-632-6219
Practice Address - Fax:276-632-5575
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA049061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice