Provider Demographics
NPI:1396901831
Name:ABC DENTAL-ROBERT H MUSTER JR DDS, DANIEL E BELL DDS, & CORINA A CUSTE
Entity type:Organization
Organization Name:ABC DENTAL-ROBERT H MUSTER JR DDS, DANIEL E BELL DDS, & CORINA A CUSTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:MUSTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-323-0490
Mailing Address - Street 1:8376 OLD TROY PIKE
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-1028
Mailing Address - Country:US
Mailing Address - Phone:937-938-7678
Mailing Address - Fax:937-938-7706
Practice Address - Street 1:8376 OLD TROY PIKE
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-1028
Practice Address - Country:US
Practice Address - Phone:937-938-7678
Practice Address - Fax:937-938-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental