DR. PAUL T SHORE DDS
NPI 1205847852
Dentist - General Practice in Wausau, WI

Q: What is Paul Shore's NPI number?

The NPI number for Paul Shore is 1205847852. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Paul Shore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Paul Shore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2006

617 JACKSON ST, WAUSAU, WI 54401(715) 842-0764 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Paul T Shore Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL T SHORE DDS (NPI 1205847852) is an individual general practice provider in Wausau, Wisconsin, licensed in Wisconsin (5000219015) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1205847852

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PAUL T SHORECredential: DDS

Location Address617 JACKSON STWausau, WI 54401

Mailing Address617 Jackson StWausau, WI 54403 · (715) 842-0764

Phone(715) 842-0764

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205847852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 5000219015

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

617 JACKSON ST, Wausau, WI 54401

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Shore's NPI number?

The NPI number for Paul Shore is 1205847852. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Paul Shore located?

Paul Shore practices at 617 Jackson St, Wausau, WI 54401. The listed phone number is (715) 842-0764.

What is Paul Shore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Paul Shore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.