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NPI Code Detail

MEDICARE: DR. MICHELLE AVELINA MOSKAL DDS

MEDICARE:  DR. MICHELLE AVELINA MOSKAL  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry31774FL

General Provider Information

NPI Number : 1992638035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE AVELINA MOSKAL DDS
Provider Business Mailing Address
First Line : 730 CRESCENT HILLS DR
Second Line :
City : LAKELAND
State : FL
Zip : 33813-4669
Country : US
Telephone Number : 863-660-0083
Fax Number :
Provider Business Practice Location Address
First Line : 730 CRESCENT HILLS DR
Second Line :
City : LAKELAND
State : FL
Zip : 33813-4669
Country : US
Telephone Number : 863-660-0083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ DR. MICHELLE AVELINA MOSKAL DDS” Practice Location

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