Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mikhail Shulkin DDS PC

Organization General Practice Dentistry · NPI 1356563035

Mikhail Shulkin DDS PC provides General Practice Dentistry in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

509 Moody St
Waltham, MA 02453
Phone: (781) 894-0889
Fax: (781) 891-6857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 20431 (MA)

Record details

NPI number1356563035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikhail Shlkinu — Dentist Owner · (781) 894-0889
Other names Moody Street Dental
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address509 Moody Street, Waltham, MA 02453

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