| Shustak Dental Group, Inc. | |
|
255 Park Ave Suite 509 Worcester MA 01609-1953 | |
| (508) 754-7799 | |
| (508) 754-8558 |
| Full Name | Shustak Dental Group, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 255 Park Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Michael Andrew Shustak (OWNER) |
| Authorized Official Contact | 5087547799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shustak Dental Group, Inc. 255 Park Ave Suite 509 Worcester MA 01609-1953 Ph: (508) 754-7799 | Shustak Dental Group, Inc. 255 Park Ave Suite 509 Worcester MA 01609-1953 Ph: (508) 754-7799 |
| NPI Number | 1417079906 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417079906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14677 (Massachusetts) | Primary |
Lahair & Gallagher Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Shore Dr, Suite 302, Worcester, MA 01605 Phone: 508-854-9994 Fax: 508-854-9996 | |
Cmoa Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Mlk Jr. Boulevard, Suite 500, Worcester, MA 01608 Phone: 508-753-2489 Fax: 508-795-3892 | |
Dtc Dental Care Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Salem St, Worcester, MA 01608 Phone: 508-667-6571 Fax: 508-630-0322 | |
Commonwealth Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Elm St, Worcester, MA 01609 Phone: 150-875-4122 Fax: 508-754-9378 | |
Russell Street Dental Associates,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Russell St, Worcester, MA 01602 Phone: 508-791-1777 Fax: 508-792-0244 | |
Lee Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Elm St Ste 101, Worcester, MA 01609 Phone: 508-799-4626 | |
Worcester Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Pleasant St, Worcester, MA 01609 Phone: 508-798-0627 |