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SHORES DENTAL PLLC
NPI 1720528599
Dentist in Saint Clair Shores, MI

Active since February 27, 2017
28503 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081(248) 771-1990 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shores Dental Pllc NPPES

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

SHORES DENTAL PLLC (NPI 1720528599) is a healthcare organization registered as a dentist in Saint Clair Shores, Michigan and active in the NPI registry since February 2017. The organization lists Randall Shaw, Manager, as its authorized official.

NPPES Registry Identity

NPI1720528599
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHORES DENTAL PLLC
Location Address28503 LITTLE MACK AVESaint Clair Shores, MI 48081-1119
Mailing Address350 Pine Ridge DrBloomfield Hills, MI 48304-2139 · (248) 931-1151
Phone(248) 771-1990
Organization SubpartNo
Authorized OfficialRandall ShawManager · (248) 931-1151
Enumeration DateFebruary 27, 2017
✔ NPI 1720528599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 13819
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
28503 LITTLE MACK AVE, Saint Clair Shores, MI 48081
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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

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. GUST DINO TOLIAS D.D.S.
Dentist (General Practice)
28503 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-1990
G. DINO TOLIAS,D.D.S. P.C.
Dentist (General Practice)
28503 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-1990

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 Shores Dental PLLC's NPI number?

The NPI number for Shores Dental PLLC is 1720528599. It was assigned to this organization in the NPPES registry on February 27, 2017.

Where is Shores Dental PLLC located?

Shores Dental PLLC is located at 28503 Little Mack Ave, Saint Clair Shores, MI 48081. The listed phone number is (248) 771-1990.

What is Shores Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shores Dental PLLC was last updated on February 27, 2017. 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.