Individual
KATHERINE MUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2953 BROAD AVE, MEMPHIS, TN 38112-2957
(901) 701-2720
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 260-8500
(901) 260-8598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10276
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
04/04/2017
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