DR. CHARLES JOSEPH MUSTO DMD NPI 1417059148

NPI Information

  • NPI: 1417059148
  • Provider Name: DR. CHARLES JOSEPH MUSTO, DMD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 920 WYOMING AVE
    STE 104
    FORTY FORT, PA
    ZIP 18704
  • Phone: (570) 283-3611

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NPI Details

DR. Charles Joseph Musto, DMD is a periodontics dentist in Forty Fort, PA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Charles Joseph Musto, DMD NPI is 1417059148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

920 WYOMING AVE
STE 104
FORTY FORT, PA
ZIP 18704-970
Phone: (570) 283-3611
Fax: (570) 283-3396

The NPI 1417059148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/2/2006 and was last updated on 5/30/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyDP027522APENNSYLVANIANo
21223P0300XDentistPeriodonticsDS027522LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1727338OTHERPENNSYLVANIAPA BLUE SHIELD
2808758OTHERPENNSYLVANIAFIRST PRIORITY HEALTH BC
3727338OTHERPENNSYLVANIAUNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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