# JAMES K MUEHLECK DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093828055
- **Authorized official:** JAMES KENNETH MUEHLECK DDS (PRESIDENT)
- **Authorized official phone:** (276) 632-6219

## Contact information

- **Practice address:** 29 CLEVELAND AVE, SUITE A, MARTINSVILLE, VA 24112
- **Practice address phone:** (276) 632-6219
- **Practice address fax:** (276) 632-5575
- **Mailing address:** 29 CLEVELAND AVE, SUITE A, MARTINSVILLE, VA 24112
- **Mailing address phone:** (276) 632-6219
- **Mailing address fax:** (276) 632-5575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004906 | VA | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020