Provider Demographics
NPI:1881747434
Name:MUFF, DANIEL FREDERICK (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FREDERICK
Last Name:MUFF
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:609 SIERRA ROSE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2060
Mailing Address - Country:US
Mailing Address - Phone:775-825-4777
Mailing Address - Fax:775-825-4761
Practice Address - Street 1:609 SIERRA ROSE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2060
Practice Address - Country:US
Practice Address - Phone:775-825-4777
Practice Address - Fax:775-825-4761
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA69879204E00000X
NV9844204E00000X
CA420741223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002216013Medicaid