Kent Lane Mueller DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS021630L Issued in PA

Legal business name

KENT LANE MUELLER DDS, LLC

Practice address

1115 Easton Rd
Willow Grove, PA 19090-1901

Phone

(215) 657-5700

Fax

(215) 657-5717

NPI assigned

Oct 30, 2013

Last updated

Oct 30, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kent Lane Mueller, DDS

Title

Owner

Phone

(215) 657-5700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1932537883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901901",
            "telephone_number": "215-657-5700",
            "fax_number": "215-657-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901901",
            "telephone_number": "215-657-5700",
            "fax_number": "215-657-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT LANE MUELLER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-657-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021630L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Regina Kcomt, MD
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• Leslie A Kemper, MMFT
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• Greg Kidorf, PH.D.

• General Practice Dentistry in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.