Individual provider · Type 1 NPI
Michael Richard Shelestak, DMD
General Practice Dentistry · West Middlesex, PA
NPI number
1396158986
Active
Practice location
3115 Main St
West Middlesex, PA 16159-3411
Fax (724) 528-0217
Mailing address
PO Box 636896
Cincinnati, OH 45263-6896
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DS040096 (PA) |
| General Practice Dentistry | 1223G0001X | FS4701428 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | 30024581 (OH) |
General Practice Dentistry: 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.
Another provider at this address
Other general practice dentistry providers in West Middlesex
About NPI 1396158986
Michael Richard Shelestak, DMD's National Provider Identifier is 1396158986, issued on Jun 11, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in West Middlesex, PA. The record was last updated on Apr 9, 2021.