Individual provider · Type 1 NPI

Charles Joseph Musto, DMD

Periodontics · Forty Fort, PA

NPI number 1417059148 Active

Practice location

920 Wyoming Ave, Ste 104
Forty Fort, PA 18704-3970

Fax (570) 283-3396

Mailing address

920 Wyoming Ave Ste 203
Forty Fort, PA 18704-3999

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XDP027522A (PA)
Periodontics Primary 1223P0300XDS027522L (PA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1417059148

Charles Joseph Musto, DMD's National Provider Identifier is 1417059148, issued on Sep 2, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Forty Fort, PA. The record was last updated on May 30, 2023.