Active NPI
Mykola Stetskiv, DMD
- Dentist
- Canton, OH
National Provider Identifier
1720965585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.028191
- Practice address
- 3684A Dressler Rd NW
Canton, OH 44718-2781 - Phone
- (330) 452-2255
- NPI assigned
- Aug 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.028191 | OH | Primary |
Addresses
Primary practice location
3684A Dressler Rd NW
Canton, OH 44718-2781
Mailing address
6228 S Park Blvd
Parma, OH 44134-3938
Phone (440) 840-6170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.028191 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1720965585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6228 S PARK BLVD",
"city": "PARMA",
"state": "OH",
"postal_code": "441343938",
"telephone_number": "440-840-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3684A DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182781",
"telephone_number": "330-452-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETSKIV",
"first_name": "MYKOLA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.028191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.