OrganizationActive
Shustak Dental Group, Inc.
NPI 1417079906 · Dentist · Worcester, MA
Shustak Dental Group, Inc. is a Dentist organization in Worcester, MA (NPI 1417079906).
Provider details
- NPI number
- 1417079906
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Shustak, Owner(508) 754-7799
- License
- 14677 (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
255 Park Ave
Suite 509
Worcester, MA 01609-1953
Phone: (508) 754-7799
Fax: (508) 754-8558
Street-level locationGet directions
Mailing address
255 Park Ave
Worcester, MA 01609-1953
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2019-07-18
Frequently asked questions
- What is Shustak Dental Group, Inc.'s NPI number?
- Shustak Dental Group, Inc.'s National Provider Identifier (NPI) is 1417079906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shustak Dental Group, Inc.?
- Shustak Dental Group, Inc. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Shustak Dental Group, Inc. located?
- Shustak Dental Group, Inc.'s practice location on file with NPPES is 255 Park Ave, Worcester, MA 01609-1953.
- What is Shustak Dental Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Shustak Dental Group, Inc. is (508) 754-7799.
- Who is the authorized official for Shustak Dental Group, Inc.?
- The authorized official listed on Shustak Dental Group, Inc.'s NPPES record is Michael Shustak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shustak Dental Group, Inc.'s NPI active?
- Yes — Shustak Dental Group, Inc.'s NPI (1417079906) is active in the NPPES registry as of the last update on 2019-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.