MICHAEL RICHARD SHELESTAK DMD NPI 1396158986

NPI Information

  • NPI: 1396158986
  • Provider Name: MICHAEL RICHARD SHELESTAK, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3115 MAIN ST
    WEST MIDDLESEX, PA
    ZIP 16159
  • Phone: (724) 528-1515

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NPI Details

Michael Richard Shelestak, DMD is a general practice dentist in West Middlesex, PA. The provider is 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. Michael Richard Shelestak, DMD NPI is 1396158986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3115 MAIN ST
WEST MIDDLESEX, PA
ZIP 16159-411
Phone: (724) 528-1515
Fax: (724) 528-0217

The enumeration date for this NPI number is 6/11/2014 and was last updated on 4/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDS040096PENNSYLVANIANo
21223G0001XDentistGeneral Practice30024581OHIOYes
31223G0001XDentistGeneral PracticeFS4701428PENNSYLVANIANo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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