OrganizationActive
Mikhail Shulkin DDS PC
NPI 1356563035 · General Practice Dentistry · Waltham, MA
Mikhail Shulkin DDS PC is a General Practice Dentistry organization in Waltham, MA (NPI 1356563035).
Provider details
- NPI number
- 1356563035
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mikhail Shlkinu, Dentist Owner(781) 894-0889
- License
- 20431 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
509 Moody Street
Waltham, MA 02453
Phone: (781) 894-0889
Fax: (781) 891-6857
Street-level locationGet directions
Mailing address
509 Moody Street
Waltham, MA 02453
Other names (DBA / former)
- Doing business as
- Moody Street Dental
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mikhail Shulkin DDS PC's NPI number?
- Mikhail Shulkin DDS PC's National Provider Identifier (NPI) is 1356563035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mikhail Shulkin DDS PC?
- Mikhail Shulkin DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mikhail Shulkin DDS PC located?
- Mikhail Shulkin DDS PC's practice location on file with NPPES is 509 Moody Street, Waltham, MA 02453.
- What is Mikhail Shulkin DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Mikhail Shulkin DDS PC is (781) 894-0889.
- Who is the authorized official for Mikhail Shulkin DDS PC?
- The authorized official listed on Mikhail Shulkin DDS PC's NPPES record is Mikhail Shlkinu, Dentist Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mikhail Shulkin DDS PC's NPI active?
- Yes — Mikhail Shulkin DDS PC's NPI (1356563035) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.