Provider Demographics
NPI:1972505089
Name:MULLER, THOMAS FREDERICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FREDERICK
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 1:195 S JENNERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9457
Mailing Address - Country:US
Mailing Address - Phone:610-345-0267
Mailing Address - Fax:610-869-0889
Practice Address - Street 1:195 S JENNERSVILLE RD
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9457
Practice Address - Country:US
Practice Address - Phone:610-345-0267
Practice Address - Fax:610-869-0889
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031532L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice