Musto, Charles Joseph

Musto, Charles Joseph is an individual health care provider with primary practice located at 920 Wyoming Ave Ste 104, Forty Fort PA 18704-3970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Musto, Charles Joseph can be contacted via phone (570) 283-3611.

Contact Information

Primary practice address
920 Wyoming Ave Ste 104 Forty Fort PA 18704-3970
Phone: (570) 283-3611
Fax: (570) 283-3396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DP027522A Pennsylvania
Dental Providers / Periodontics 1223P0300X DS027522L Pennsylvania

Profile Details

NPI number 1417059148
LBN Legal business name Musto, Charles Joseph
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated May 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417059148 NPPES
Pennsylvania Other 727338 PA BLUE SHIELD
Pennsylvania Other 808758 PA BLUE SHIELD
Pennsylvania Other 727338 PA BLUE SHIELD

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