Adolescent & Pediactric Dentistry P.C. in Muncie - Pediatric Dentistry
Adolescent & Pediactric Dentistry P.C. - NPI 1184882219
Adolescent & Pediactric Dentistry P.C. is a Pediatric Dentistry in Muncie, Indiana. Adolescent & Pediactric Dentistry P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Adolescent & Pediactric Dentistry P.C. is 1184882219. The last update date is 2008-05-27.
Adolescent & Pediactric Dentistry P.C.'s current location address is 610 S Tillotson Ave Ste 205, Muncie, Indiana. You can contact this provider via phone number 7652885527 and fax number 7652886119. The mailing address for Adolescent & Pediactric Dentistry P.C. is 610 S Tillotson Ave Ste 205, Muncie, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adolescent & Pediactric Dentistry P.C. |
|---|---|
| Address | 610 S Tillotson Ave Ste 205, Muncie, Indiana |
| Phone Number | 7652885527 |
| Fax Number | 7652886119 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Musal Richard Michael |
| Credentials | D.D.S. |
| Telephone Number | 7652885527 |
NPI Number Detail
| NPI Number | 1184882219 |
|---|---|
| Provider Enumeration Date | 2008-05-27 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 610 S Tillotson Ave Ste 205 |
|---|---|
| City | Muncie |
| State | Indiana (IN) |
| Post Code | 473044450 |
| Phone Number | 7652885527 |
| Fax Number | 7652886119 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12010472A |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200408960A | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Adolescent & Pediactric Dentistry P.C. by the Centers for Medicare & Medicaid Services?
The Adolescent & Pediactric Dentistry P.C. has been issued the NPI (National Provider Identifier) 1184882219. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Adolescent & Pediactric Dentistry P.C.'s facilities are geographically located?
The facilities of Adolescent & Pediactric Dentistry P.C. are physically situated at the following location: 610 S Tillotson Ave Ste 205, Muncie, IN, 473044450.
What is the area of specialization for Adolescent & Pediactric Dentistry P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Adolescent & Pediactric Dentistry P.C. is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Adolescent & Pediactric Dentistry P.C. receive its 1184882219 assignment from the Centers for Medicare & Medicaid Services?
The Adolescent & Pediactric Dentistry P.C. was assigned its 1184882219 by the Centers for Medicare & Medicaid Services on 2008-05-27.
When was the information pertaining to Adolescent & Pediactric Dentistry P.C. most recently updated or revised?
The details related to Adolescent & Pediactric Dentistry P.C., including its address, specialty, and other relevant information, were last updated or revised on 2008-05-27.