Dr. Scott W Shore
Dentist Pediatric Dentist
9101 N Greenwood Ave
Niles
, Illinois 60714-1499
Dr. Scott W Shore
Dentist Pediatric Dentist
9101 N Greenwood Ave
Niles
, Illinois 60714-1499
(847) 835-5253
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Scott W Shore
- 962 Oak Dr
- Glencoe, IL
- Zip : 60022-1427
- Phone : (847) 835-5253
Second Address
- Dr. Scott W Shore
- 9101 N Greenwood Ave
- Niles, IL
- Zip : 60714-1499
- Phone : (847) 299-1095
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 19-013038 | IL |
| N | 1223P0221X | Pediatric Dentist | IL |
National Provider Identifier
| NPI | 1013028083 |
|---|---|
| Provider Name | Dr. Scott W Shore |
| First Address | Glencoe, IL 60022-1427 |
| Second Address | Niles, IL 60714-1499 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.