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Individual

DR. PAUL VINCENT MUSCARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
836 W 1ST NORTH ST, MORRISTOWN, TN 37814-4548
(423) 587-2660
(423) 307-8796
Mailing address
PO BOX 711, MORRISTOWN, TN 37815-0711
(423) 587-2660
(423) 307-8796

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS2797
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2008465
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
TN
01
861042
UNITED CONCORDIA PROVIDER NUMBER
Enumeration date
10/07/2008
Last updated
10/07/2008
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