Provider Demographics
NPI:1922238963
Name:MUELLER, ANDREW ROBERT (DMD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:ROBERT
Last Name:MUELLER
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 1:4447 N CENTRAL EXPY STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-4246
Mailing Address - Country:US
Mailing Address - Phone:800-215-6530
Mailing Address - Fax:468-757-4517
Practice Address - Street 1:2304 MIDWESTERN PKWY STE 102
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2332
Practice Address - Country:US
Practice Address - Phone:940-696-1544
Practice Address - Fax:940-696-0203
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX248711223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program