Provider Demographics
NPI:1942472337
Name:MUSIAL DENTAL CENTER INC
Entity Type:Organization
Organization Name:MUSIAL DENTAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSIAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-661-3420
Mailing Address - Street 1:5011 GOVERNMENT BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-5029
Mailing Address - Country:US
Mailing Address - Phone:251-661-3420
Mailing Address - Fax:251-661-3430
Practice Address - Street 1:5011 GOVERNMENT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-5029
Practice Address - Country:US
Practice Address - Phone:251-661-3420
Practice Address - Fax:251-661-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL5017122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty