Provider Demographics
NPI:1639881543
Name:MUSSKOPF, MARTA LILIANA (DDS, MSD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:LILIANA
Last Name:MUSSKOPF
Suffix:
Gender:F
Credentials:DDS, MSD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 SOUTH COLUMBIA STREET BRAUER HALL 428
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-537-2737
Mailing Address - Fax:
Practice Address - Street 1:385 SOUTH COLUMBIA STREET
Practice Address - Street 2:CB 7450
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-537-3727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0253122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA