| Michael Shashaty DDS Inc | |
|
13521 Sherman Way Ste H Van Nuys CA 91405-2895 | |
| (818) 905-1515 | |
| Not Available |
| Full Name | Michael Shashaty DDS Inc |
|---|---|
| Speciality | Dentist |
| Location | 13521 Sherman Way Ste H, Van Nuys, California |
| Authorized Official Name and Position | Michael Shashaty (CEO) |
| Authorized Official Contact | 8189051515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Shashaty DDS Inc 13521 Sherman Way Ste H Van Nuys CA 91405-2895 Ph: (818) 905-1515 | Michael Shashaty DDS Inc 13521 Sherman Way Ste H Van Nuys CA 91405-2895 Ph: (818) 905-1515 |
| NPI Number | 1922145929 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 09/21/2026 |
| Certification Date | 09/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922145929 | NPI | - | NPPES |
| G93738-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41786 (California) | Primary |
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