Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shustak Dental Group, Inc

Organization Dentist · NPI 1417079906

Shustak Dental Group, Inc is a Dentist in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

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

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Practice location Address checks out

255 Park Ave Ste 509
Worcester, MA 01609-1953
Phone: (508) 754-7799
Fax: (508) 754-8558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14677 (MA)

Record details

NPI number1417079906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shustak — Owner · (508) 754-7799
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 18, 2019
Mailing address255 Park Ave, Suite 509, Worcester, MA 01609-1953

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