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SOUTH SHORE SMILES LLC
NPI 1356898050
Dentist - General Practice in Saint John, IN

Active since September 09, 2016
9270 WICKER AVE, SUITE E AND F, SAINT JOHN, IN 46373(219) 627-3133 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Shore Smiles Llc NPPES

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

SOUTH SHORE SMILES LLC (NPI 1356898050) is a healthcare organization registered as a general practice in Saint John, Indiana and active in the NPI registry since September 2016. The organization lists Roger K Shieh, Owner, as its authorized official.

NPPES Registry Identity

NPI1356898050
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH SHORE SMILES LLC
Location Address9270 WICKER AVE, SUITE E AND FSaint John, IN 46373-8508
Mailing Address9270 Wicker Ave, Suite E And FSaint John, IN 46373-8508 · (219) 627-3133
Phone(219) 627-3133
Organization SubpartNo
Authorized OfficialRoger K ShiehOwner · (219) 716-1259
Enumeration DateSeptember 9, 2016
✔ NPI 1356898050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12011455A
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.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 12011456A (IN)
9270 WICKER AVE, Saint John, IN 46373
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Other Identifiers 2

Medicaid1184944159IN
Medicaid1144540980IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDERSON EYE CARE PC
Optometrist
9270 WICKER AVE, SUITE A
ST. JOHN, IN 46373
Lake County (219) 365-1227
DR. VALERIE RENEE ANDERSON O.D.
Optometrist
9270 WICKER AVE, SUITE A
SAINT JOHN, IN 46373
Lake County (219) 365-1227

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 South Shore Smiles LLC's NPI number?

The NPI number for South Shore Smiles LLC is 1356898050. It was assigned to this organization in the NPPES registry on September 9, 2016.

Where is South Shore Smiles LLC located?

South Shore Smiles LLC is located at 9270 Wicker Ave Suite E And F, Saint John, IN 46373. The listed phone number is (219) 627-3133.

What is South Shore Smiles LLC's specialty?

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

What insurance does South Shore Smiles LLC accept?

Health plans from DentaQuest USA Insurance list South Shore Smiles LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Shore Smiles LLC was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.