Mikhail Shulkin DDS PC

General Practice Dentistry · Waltham, MA

Organization Active NPI

NPI number 1356563035

Practice location

509 Moody Street
Waltham, MA 02453
Phone
(781) 894-0889
Fax
(781) 891-6857

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NPI record

NPI
1356563035
Entity type
Organization (Type 2)
Enumeration date
May 3, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 20431 MA

Authorized official

Name
Dr. Mikhail Shlkinu, DDS
Title
Dentist Owner
Phone
(781) 894-0889

Other names

  • Moody Street Dental

About Mikhail Shulkin DDS PC

Mikhail Shulkin DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 509 Moody Street, Waltham, MA 02453. The NPI number 1356563035 was assigned on May 3, 2007 and the record was last updated on August 22, 2020.

Mikhail Shulkin DDS PC lists a license in the registry: #20431 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mikhail Shlkinu, DDS, Dentist Owner.

Frequently asked questions

What is the NPI number of Mikhail Shulkin DDS PC?

The NPI number is 1356563035.

What is the phone number of Mikhail Shulkin DDS PC?

The phone number listed for the practice location is (781) 894-0889.

Where is Mikhail Shulkin DDS PC located?

509 Moody Street, Waltham, MA 02453.

What is the taxonomy code for Mikhail Shulkin DDS PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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