DR. RICHARD LEWIS MOUSSALLI (NPI# 1255495685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255495685 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LEWIS MOUSSALLI |
| Credential | DDS |
| Practice Address |
115 S Phelps St Decatur MI 49045-1117 |
| Practice Telephone | 2694234961 |
| Practice Fax Number | 2694238927 |
| Mailing Telephone | 2694234961 |
| Mailing Fax Number | 2694238927 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901014648 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1844602 | 05 |
| Street Address |
115 S PHELPS ST |
| City | DECATUR |
| State | MI |
| Zip Code | 49045-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508106121 | Murks Village Market Inc | Pharmacy | 108b East Delaware Street, Decatur, MI 49045 | 2013-02-19 |
| 1295863066 | Linda Arlene Berrington | Pharmacist | 108 B E Delaware St, Decatur, MI 49045 | 2007-03-01 |
| 1891228342 | Jorge Ricardo Swett Tapia | Dentist | 321 W Delaware St, Decatur, MI 49045 | 2017-04-11 |
| 1295741320 | Dale Eugene Bryant Jr. | Registered Nurse | 216 E Saint Marys St, Decatur, MI 49045-1023 | 2006-07-31 |
| 1023133378 | Robert Steven Murav | Dentist | 321 W Delaware St, Decatur, MI 49045-1106 | 2007-03-19 |
| 1639166747 | Lester Burkow | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2005-10-04 |
| 1649886607 | Melissa Lynn Williams | Social Worker | 319 W Delaware St, Decatur, MI 49045-1106 | 2020-09-16 |
| 1245869585 | Erica Nagra | Registered Nurse | 319 W Delaware St, Decatur, MI 49045-1106 | 2020-04-08 |
| 1376767285 | Bronson Lakeview Hospital | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2007-04-12 |
| 1942373089 | Song Yol Yu | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2006-11-16 |
| Find all providers in zip 49045 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1134744576 | Dafna Lapidot | Dentist | 1074 Vistavia Cir, Decatur, GA 30033-3413 | 2020-06-11 |
| 1184140121 | Access Dental Care, LLC | Dentist | 1621 Wolverine Dr Se, Decatur, AL 35601-4933 | 2017-08-22 |
| 1154868917 | North Decatur Dentistry, PC | Dentist | 2570 Blackmon Drive, Suite 320, Decatur, GA 30033 | 2017-01-31 |
| 1245645084 | Mobile Dental Services of Alabama PC | Dentist | 3231 Fieldstone Dr Sw, Decatur, AL 35603-3173 | 2014-06-30 |
| 1619317518 | Jieun Jun | Dentist | 2450 Lawrenceville Hwy Ste 100, Decatur, GA 30033-3269 | 2013-06-25 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1598092801 | Brandon Michael Piper | Dentist | 469 W Wood St, Decatur, IL 62522-3109 | 2009-11-06 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.