ADOLESCENT & PEDIACTRIC DENTISTRY P.C.
NPI 1184882219
Dentist - Pediatric Dentistry in Muncie, IN

Q: What is Adolescent & Pediactric Dentistry P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since May 27, 2008

610 S TILLOTSON AVE STE 205, MUNCIE, IN 47304(765) 288-5527(765) 288-6119 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Adolescent & Pediactric Dentistry P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADOLESCENT & PEDIACTRIC DENTISTRY P.C. (NPI 1184882219) is a healthcare organization registered as a pediatric dentistry in Muncie, Indiana and active in the NPI registry since May 2008. The organization lists Michael Richard Musal, Owner, as its authorized official.

NPPES Registry Identity

NPI1184882219

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameADOLESCENT & PEDIACTRIC DENTISTRY P.C.

Location Address610 S TILLOTSON AVE STE 205Muncie, IN 47304-4450

Mailing Address610 S Tillotson Ave Ste 205Muncie, IN 47304-4450 · (765) 288-5527 · Fax (765) 288-6119

Phone(765) 288-5527

Fax(765) 288-6119

Organization SubpartNo

Authorized OfficialMichael Richard MusalOwner · (765) 288-5527

Enumeration DateMay 27, 2008

✔ NPI 1184882219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IN · 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.

610 S TILLOTSON AVE STE 205, Muncie, IN 47304

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Other Identifiers 1

Medicaid200408960AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adolescent & Pediactric Dentistry P.C.'s NPI number?

The NPI number for Adolescent & Pediactric Dentistry P.C. is 1184882219. It was assigned to this organization in the NPPES registry on May 27, 2008.

Where is Adolescent & Pediactric Dentistry P.C. located?

Adolescent & Pediactric Dentistry P.C. is located at 610 S Tillotson Ave Ste 205, Muncie, IN 47304. The listed phone number is (765) 288-5527.

What is Adolescent & Pediactric Dentistry P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Adolescent & Pediactric Dentistry P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest USA Insurance list Adolescent & Pediactric Dentistry P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adolescent & Pediactric Dentistry P.C. was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.