1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Dentist
  6. NPI Profile

SHUSTAK DENTAL GROUP, INC.
NPI 1417079906
Dentist in Worcester, MA

Active since April 04, 2007
255 PARK AVE, SUITE 509, WORCESTER, MA 01609(508) 754-7799(508) 754-8558 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shustak Dental Group, Inc. NPPES

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

SHUSTAK DENTAL GROUP, INC. (NPI 1417079906) is a healthcare organization registered as a dentist in Worcester, Massachusetts and active in the NPI registry since April 2007. The organization lists Michael Andrew Shustak, Owner, as its authorized official.

NPPES Registry Identity

NPI1417079906
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHUSTAK DENTAL GROUP, INC.
Location Address255 PARK AVE, SUITE 509Worcester, MA 01609-1953
Mailing Address255 Park Ave, Suite 509Worcester, MA 01609-1953 · (508) 754-7799 · Fax (508) 754-8558
Phone(508) 754-7799
Fax(508) 754-8558
Organization SubpartNo
Authorized OfficialMichael Andrew ShustakOwner · (508) 754-7799
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 18, 2019
✔ NPI 1417079906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · 14677
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
255 PARK AVE, Worcester, MA 01609
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MISS KAYLA C DALY MA, MT-BC, LMHC
Specialist
255 PARK AVE, SUITE 304
WORCESTER, MA 01609
Worcester County (508) 304-2415
OLGA ROCHE LCSW
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Worcester County (781) 871-6550
DEBORAH DUTTON LMHC
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Worcester County (781) 871-6550
JAMES C HUROWITZ MD
Internal Medicine
255 PARK AVE, SUITE 210
WORCESTER, MA 01609
Worcester County (508) 753-8800
DR. CHRISTOPHER VANKLEECK PSY.D.
Psychologist (Clinical)
255 PARK AVE
WORCESTER, MA 01609
Worcester County (508) 612-6212
MRS. TOBIE SUSAN BECKER R.D.,L.D.
Dietitian, Registered
255 PARK AVE, SUITE 210
WORCESTER, MA 01609
Worcester County (508) 754-8000
KARYN STERN DMD PC
Dentist (Endodontics)
255 PARK AVE, SUITE 303
WORCESTER, MA 01609
Worcester County (508) 755-3636
PHILIP J. CABRERA, D.D.S., F.R.C.D. (C), P.C.
Dentist (Endodontics)
255 PARK AVE, SUITE 1020
WORCESTER, MA 01609
Worcester County (508) 792-4290

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 Shustak Dental Group, Inc.'s NPI number?

The NPI number for Shustak Dental Group, Inc. is 1417079906. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Shustak Dental Group, Inc. located?

Shustak Dental Group, Inc. is located at 255 Park Ave Suite 509, Worcester, MA 01609. The listed phone number is (508) 754-7799.

What is Shustak Dental Group, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shustak Dental Group, Inc. was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.