Provider Demographics
NPI:1861903601
Name:MUSZYNSKI DENTAL, PLLC
Entity type:Organization
Organization Name:MUSZYNSKI DENTAL, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:325-899-6009
Mailing Address - Street 1:2601 E ELMS RD
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2804
Mailing Address - Country:US
Mailing Address - Phone:254-699-4127
Mailing Address - Fax:
Practice Address - Street 1:2601 E ELMS RD
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2804
Practice Address - Country:US
Practice Address - Phone:254-699-4127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty