Healthcare Provider Details

I. General information

NPI: 1801846746
Provider Name (Legal Business Name): PAUL MICHAEL SCHELKUN MD, DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8406 MALLARDS WAY
NAPLES FL
34114-9488
US

IV. Provider business mailing address

8406 MALLARDS WAY
NAPLES FL
34114-9488
US

V. Phone/Fax

Practice location:
  • Phone: 215-837-2595
  • Fax:
Mailing address:
  • Phone: 215-837-2595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberME135333
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: