Provider Demographics
NPI:1801846746
Name:SCHELKUN, PAUL MICHAEL (MD, DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MICHAEL
Last Name:SCHELKUN
Suffix:
Gender:
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8406 MALLARDS WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-9488
Mailing Address - Country:US
Mailing Address - Phone:215-837-2595
Mailing Address - Fax:
Practice Address - Street 1:8406 MALLARDS WAY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-9488
Practice Address - Country:US
Practice Address - Phone:215-837-2595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1353331223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU27487Medicare UPIN
PAF54721Medicare UPIN
PA668341Medicare ID - Type UnspecifiedMEDICARE