Adolescent & Pediactric Dentistry P.C.

LBN: Adolescent & Pediactric Dentistry P.C.
Adolescent & Pediactric Dentistry P.C. is an health care organization with primary practice located at 610 S Tillotson Ave Ste 205 , Muncie IN 47304-4450. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Adolescent & Pediactric Dentistry P.C. can be contacted via phone (765) 288-5527, or through Musal, Michael Richard via phone (765) 288-5527.

Contact Information

Primary practice address
610 S Tillotson Ave Ste 205 Muncie IN 47304-4450
Phone: (765) 288-5527
Fax: (765) 288-6119
Website:
Map and Directions
Authorized official contact:
Name: Musal, Michael Richard Doctor of Dental Surgery (DDS)
Phone: (765) 288-5527

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12010472A Indiana

Profile Details

NPI number 1184882219
LBN Legal business name Adolescent & Pediactric Dentistry P.C.
DBA Doing business as
Authorized official Musal, Michael Richard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2008
Last updated May 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184882219 NPPES
Indiana MEDICAID 200408960A

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