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Dr. Stanley A Shustak JR., DDS
General Practice Dentistry in Worcester, Massachusetts
NPI 1356494165

Stanley A Shustak JR. is a General Practice Dentistry based in Worcester, MA and is specialized in General Practice. Stanley A Shustak JR. practices in Worcester, MA and has the professional credentials of DDS. The NPI Number for Stanley A Shustak JR. is 1356494165 and holds a License No. 14677 (Massachusetts).

The current practice location address for Stanley A Shustak JR. is 255 Park Ave Ste 509, Worcester, MA and can be reached out via phone at 508-754-7799 and via fax at 508-754-8558.

Location: 255 Park Ave Ste 509, Worcester, MA, 01609-1958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356494165
Provider Name
Stanley A Shustak JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
255 Park Ave Ste 509, Worcester, MA, 01609-1958
Phone Number
508-754-7799
Fax Number
508-754-8558
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0042941841 01 MA UNITED CONCORDIA
X04458 01 MA BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
255 Park Ave Ste 509
City
Worcester
State
Massachusetts
Zip
01609-1958
Phone Number
508-754-7799
Fax Number
508-754-8558
person
Provider Business Mailing Address Details
Address
255 Park Ave Ste 509
City
Worcester
State
Massachusetts
Zip
01609-1958
Phone Number
508-754-7799
Fax Number
508-754-8558
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
14677 (Massachusetts)
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.
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