# IDEAL DENTAL MUELLER PLLC

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

## Provider details

- **NPI number:** 1861285363
- **Authorized official:** CAROL CANAVA (VP REVENUE CYCLE)
- **Authorized official phone:** (972) 331-8079

## Contact information

- **Practice address:** 2201 AIRPORT BLVD STE 130, AUSTIN, TX 78722-1404
- **Practice address phone:** (512) 598-0153
- **Mailing address:** 12750 MERIT DR STE 1100, DALLAS, TX 75251-1302
- **Mailing address phone:** (972) 361-0600

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2025
- **Last updated:** 05/27/2025