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DR. ALEXANDER MICHAEL SHORE DDS
NPI 1407416977
Dentist - General Practice in Homewood, IL

Active since June 17, 2019
18114 GOTTSCHALK AVE, HOMEWOOD, IL 60430(708) 799-5353 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2022, Jun 17, 2019 (2 updates tracked since 2019).

About Dr. Alexander Michael Shore Dds NPPES

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

DR. ALEXANDER MICHAEL SHORE DDS (NPI 1407416977) is an individual general practice provider in Homewood, Illinois, licensed in Michigan (2901600128) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1407416977
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALEXANDER MICHAEL SHORECredential: DDS
Location Address18114 GOTTSCHALK AVEHomewood, IL 60430-2208
Mailing Address33153 Maplenut StFarmington, MI 48336-4438 · (248) 345-3521
Phone(708) 799-5353
Sole ProprietorNo
Enumeration DateJune 17, 2019
Last NPPES UpdateMay 10, 20222 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1407416977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901600128
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.
18114 GOTTSCHALK AVE, Homewood, IL 60430
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

DR. DAVID DUANE MAYER D.D.S.
Dentist (General Practice)
18114 GOTTSCHALK AVE
HOMEWOOD, IL 60430
Cook County (708) 799-5353
SIGNATURE SMILE ARTS, PC
Dentist (General Practice)
18114 GOTTSCHALK AVE
HOMEWOOD, IL 60430
Cook County (708) 799-5353

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 Alexander Shore's NPI number?

The NPI number for Alexander Shore is 1407416977. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Alexander Shore located?

Alexander Shore practices at 18114 Gottschalk Ave, Homewood, IL 60430. The listed phone number is (708) 799-5353.

What is Alexander Shore's specialty?

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

What insurance does Alexander Shore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Montana and 11 other insurers list Alexander Shore 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 Alexander Shore was last updated on May 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.