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Active NPI 1396158986 Individual Practitioner Male Practitioner

Dr. Michael Richard Shelestak , DMD

Dentist - General Practice • West Middlesex, PA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Shelestak, DMD is a registered healthcare professional specializing in Dentist - General Practice in West Middlesex, PA. Practice services are available at 3115 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3115 Main St

West Middlesex, PA 161593411

Telephone 7245281515
Fax 7245280217

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Middlesex, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
2 Specialists

Practicing in West Middlesex, PA (4936 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

CMS Verified: 2021-04-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30024581

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License PA DS040096

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License PA FS4701428

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Richard Shelestak , DMD

Dentist - General Practice

NPI 1043300593

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2021

Dentist (License #DS040096 in PA)

NPI Profile Active October 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2015

Registered at 3115 MAIN ST, WEST MIDDLESEX, PA 161593411 (Tel: 7245281515)

📍
Updated Business Mailing Address October 02, 2015

Registered at PO BOX 636896, CINCINNATI, OH 452636896 (Tel: 3308847158)

👤
Provider Name / Credentials Updated October 02, 2015

Recorded as MICHAEL SHELESTAK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2015

Dentist (License #30024581 in OH)

🟢
Initial NPI Registration & Enumeration June 11, 2014

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: 1396158986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2014
Last Update: April 09, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 636896

Cincinnati, OH 452636896

Phone: 3308847158

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.