Robert Leonard Shore, D.D.S.

General Practice Dentistry · Eastpointe, MI

Individual Active NPI

NPI number 1417049909

Practice location

24901 Kelly Rd
Eastpointe, MI 48021-1367
Phone
(586) 772-2090

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NPI record

NPI
1417049909
Entity type
Individual (Type 1)
Enumeration date
September 29, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901010594 MI

Mailing address

22485 Sunnydale St
Saint Clair Shores, MI 48081-2423
Phone
(586) 773-6836

About Dr. Shore

Robert Leonard Shore, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 24901 Kelly Rd, Eastpointe, MI 48021-1367. The NPI number 1417049909 was assigned on September 29, 2006 and the record was last updated on July 8, 2007.

Dr. Shore lists a license in the registry: #2901010594 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Leonard Shore, D.D.S.?

The NPI number is 1417049909.

What is the phone number of Dr. Shore?

The phone number listed for the practice location is (586) 772-2090.

Where is Dr. Shore located?

24901 Kelly Rd, Eastpointe, MI 48021-1367.

What is the taxonomy code for Dr. Shore?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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