EASTSIDE DENTAL SPECIALISTS PLLC
NPI 1740324052
Dentist - Endodontics in Eastpointe, MI

Q: What is Eastside Dental Specialists PLLC's NPI number?

The NPI number for Eastside Dental Specialists PLLC is 1740324052. It was assigned to this organization in the NPPES registry on February 19, 2007.

Q: What is Eastside Dental Specialists PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Active since February 19, 2007

24901 KELLY RD, EASTPOINTE, MI 48021(586) 772-2090(586) 772-0742 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Eastside Dental Specialists Pllc NPPES

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

EASTSIDE DENTAL SPECIALISTS PLLC (NPI 1740324052) is a healthcare organization registered as an endodontics in Eastpointe, Michigan and active in the NPI registry since February 2007. The organization lists Robert Leonard Shore, President, as its authorized official.

NPPES Registry Identity

NPI1740324052

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameEASTSIDE DENTAL SPECIALISTS PLLC

Location Address24901 KELLY RDEastpointe, MI 48021-1367

Mailing Address24901 Kelly RdEastpointe, MI 48021-1367 · (586) 772-2090 · Fax (586) 772-0742

Phone(586) 772-2090

Fax(586) 772-0742

Organization SubpartNo

Authorized OfficialRobert Leonard ShorePresident · (586) 772-2090

Enumeration DateFebruary 19, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1740324052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Also ListedDentistTaxonomy 122300000X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

Also ListedDental HygienistTaxonomy 124Q00000X

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 9

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

MRS. ANDREA D ZINKE FNP-BC

Nurse Practitioner