Organization
ADOLESCENT & PEDIACTRIC DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RICHARD MUSAL D.D.S. (OWNER)
(765) 288-5527
Entity
Organization
Contact information
Practice address
610 S TILLOTSON AVE STE 205, MUNCIE, IN 47304-4450
(765) 288-5527
(765) 288-6119
Mailing address
610 S TILLOTSON AVE STE 205, MUNCIE, IN 47304-4450
(765) 288-5527
(765) 288-6119
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010472A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200408960A
—
IN
Enumeration date
05/27/2008
Last updated
05/27/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up