Michael Richard Shelestak, DMD

NPI #1396158986 in West Middlesex, Pennsylvania

Provider Information

NPI Number: 1396158986
Entity Type: Individual
Name: Michael Richard Shelestak, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 11, 2014
Last Updated: Apr 9, 2021

Practice Location

Address: 3115 MAIN ST
City: West Middlesex
State: Pennsylvania
ZIP Code: 16159-3411
Phone: (724) 528-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X
Student in an Organized Health Care Education/Training Program	390200000X

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