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DR. STANLEY A SHUSTAK JR. DDS
NPI 1356494165
Dentist - General Practice in Worcester, MA

Active since January 18, 2007
255 PARK AVE STE 509, WORCESTER, MA 01609(508) 754-7799(508) 754-8558 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stanley A Shustak Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STANLEY A SHUSTAK JR. DDS (NPI 1356494165) is an individual general practice provider in Worcester, Massachusetts, licensed in Massachusetts (14677) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1356494165
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STANLEY A SHUSTAK JR.Credential: DDS
Location Address255 PARK AVE STE 509Worcester, MA 01609-1958
Mailing Address255 Park Ave Ste 509Worcester, MA 01609-1958 · (508) 754-7799 · Fax (508) 754-8558
Phone(508) 754-7799
Fax(508) 754-8558
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356494165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 14677
Definition
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.
255 PARK AVE STE 509, Worcester, MA 01609
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Other Identifiers 2

OtherX04458MA · Blue Cross & Blue Shield
Other0042941841MA · United Concordia

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE DERMATOLOGY CENTER OF WORCESTER LLC
Dermatology
255 PARK AVE STE 509
WORCESTER, MA 01609
Worcester County (508) 890-5500
INTEGRATED DERMATOLOGY OF WORCESTER II LLC
Dermatology
255 PARK AVE STE 509
WORCESTER, MA 01609
Worcester County (508) 890-5500
ARJUN BASHYAM MD
Dermatology
255 PARK AVE STE 509
WORCESTER, MA 01609
Worcester County (508) 890-5500
KATIE BROUILLARD O'BRIEN NP
Dermatology
255 PARK AVE STE 509
WORCESTER, MA 01609
Worcester County (508) 890-5500
SARA ARBOR
Dentist
255 PARK AVE STE 509
WORCESTER, MA 01609
Worcester County (413) 687-5208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanley Shustak's NPI number?

The NPI number for Stanley Shustak is 1356494165. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Stanley Shustak located?

Stanley Shustak practices at 255 Park Ave Ste 509, Worcester, MA 01609. The listed phone number is (508) 754-7799.

What is Stanley Shustak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Stanley Shustak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.