MOODY STREET DENTAL
NPI 1356563035
Dentist - General Practice in Waltham, MA

Q: What is Mikhail Shulkin Dds PC's NPI number?

The NPI number for Mikhail Shulkin Dds PC is 1356563035. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Moody Street Dental.

Q: What is Mikhail Shulkin Dds PC's specialty?

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

Active since May 03, 2007

509 MOODY STREET, WALTHAM, MA 02453(781) 894-0889(781) 891-6857 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Moody Street Dental NPPES

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

MOODY STREET DENTAL (NPI 1356563035) is a healthcare organization registered as a general practice in Waltham, Massachusetts and active in the NPI registry since May 2007. The organization lists Mikhail Shlkinu, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1356563035

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMIKHAIL SHULKIN DDS PC

Location Address509 MOODY STREETWaltham, MA 02453

Mailing Address509 Moody StreetWaltham, MA 02453 · (781) 894-0889 · Fax (781) 891-6857

Phone(781) 894-0889

Fax(781) 891-6857

Organization SubpartNo

Authorized OfficialMikhail ShlkinuDentist Owner · (781) 894-0889

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1356563035 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 · 20431

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.

509 MOODY STREET, Waltham, MA 02453

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Other Names 1

Doing Business AsMoody Street Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Mikhail Shulkin Dds PC's NPI number?

The NPI number for Mikhail Shulkin Dds PC is 1356563035. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Moody Street Dental.

Where is Mikhail Shulkin Dds PC located?

Mikhail Shulkin Dds PC is located at 509 Moody Street, Waltham, MA 02453. The listed phone number is (781) 894-0889.

What is Mikhail Shulkin Dds PC'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 Mikhail Shulkin Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.