ADOLESCENT & PEDIACTRIC DENTISTRY P.C. NPI 1184882219

NPI Information

ADOLESCENT & PEDIACTRIC DENTISTRY P.C. is a pediatric dentistry dentist in Muncie, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ADOLESCENT & PEDIACTRIC DENTISTRY P.C. NPI is 1184882219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

610 S TILLOTSON AVE STE 205
MUNCIE, IN
ZIP 47304-450
Phone: (765) 288-5527
Fax: (765) 288-6119

The provider's authorized official is Michael Richard Musal .
The authorized official title is Owner and has the following contact phone number (765) 288-5527.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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