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Active NPI 1356494165 Individual Practitioner Male Practitioner

Dr. Stanley A Shustak , DDS

Dentist - General Practice • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Shustak, DDS is a registered healthcare professional specializing in Dentist - General Practice in Worcester, MA. Practice services are available at 255 PARK AVE STE 509 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 Park Ave Ste 509

Worcester, MA 016091958

Telephone 5087547799
Fax 5087548558
Associated Practice Facility / Clinic
🏢 The Dermatology Center Of Worcester Llc Facility NPI 1538484837

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
87 Specialists

Practicing in Worcester, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 14677

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
0042941841 (MA)
Commercial Insurance / Payer ID Blue Cross & Blue Shield
X04458 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Michael Shustak , DMD

Dentist - General Practice

NPI 1821005562

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 255 PARK AVE STE 509, WORCESTER, MA 016091958 (Tel: 5087547799)

📍
Updated Business Mailing Address July 08, 2007

Registered at 255 PARK AVE STE 509, WORCESTER, MA 016091958 (Tel: 5087547799)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STANLEY SHUSTAK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #14677 in MA)

🟢
Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356494165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

255 Park Ave Ste 509

Worcester, MA 016091958

Phone: 5087547799

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.