Provider Demographics
NPI:1699972075
Name:MUFF, JOSEPH (DDS)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:MUFF
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 1:3874 COLUMBIA AVE.
Mailing Address - Street 2:
Mailing Address - City:OSAGE BEACH
Mailing Address - State:MO
Mailing Address - Zip Code:65065
Mailing Address - Country:US
Mailing Address - Phone:573-348-4623
Mailing Address - Fax:573-348-4624
Practice Address - Street 1:3874 COLUMBIA AVENUE
Practice Address - Street 2:
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065
Practice Address - Country:US
Practice Address - Phone:573-348-4623
Practice Address - Fax:573-348-4624
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO14424122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist