Provider Demographics
NPI:1679711352
Name:MUELLER, THOMAS CHRISTOPHER (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHRISTOPHER
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 1:2175 NW PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3886
Mailing Address - Country:US
Mailing Address - Phone:541-757-8330
Mailing Address - Fax:541-757-0238
Practice Address - Street 1:2175 NW PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3886
Practice Address - Country:US
Practice Address - Phone:541-757-8330
Practice Address - Fax:541-757-0238
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD92371223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics