NICHOLAS THOMAS DDS & ROBERT SHORE DDS, PC (NPI# 1841383841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841383841 |
| Entity Type | Organization |
| Organization Name | NICHOLAS THOMAS DDS & ROBERT SHORE DDS, PC |
| Other Organization Name | PREFERRED DENTAL PRACTICE, PC |
| Practice Address |
24901 Kelly Rd Eastpointe MI 48021-1367 |
| Practice Telephone | 5867722090 |
| Practice Fax Number | 5867720742 |
| Mailing Telephone | 5867722090 |
| Mailing Fax Number | 5867720742 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT LEONARD SHORE (PRESIDENT) |
| Authorized Official Telephone | 5867722090 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | Dental Providers | ||
| X | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| X | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| X | 124Q00000X | Dental Hygienist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Preferred Dental Practice, PC | Doing Business As Name - Organization |
| Street Address |
24901 KELLY RD |
| City | EASTPOINTE |
| State | MI |
| Zip Code | 48021-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094341 | Annette L Aquino | General Practice | 24901 Kelly Rd, Eastpointe, MI 48021-1384 | 2005-09-21 |
| 1346740420 | Andrea D Zinke | Nurse Practitioner | 24901 Kelly Rd, Eastpointe, MI 48021-1367 | 2018-02-15 |
| 1891099131 | Adrian Lahr | Physical Therapist | 24901 Kelly Rd, Eastpointe, MI 48021-1367 | 2010-12-30 |
| 1740324052 | Eastside Dental Specialists Pllc | Dentist | 24901 Kelly Rd, Eastpointe, MI 48021-1367 | 2007-02-19 |
| 1518034164 | Ana Maria Brajak | Dentist | 24901 Kelly Rd, Eastpointe, MI 48021-1367 | 2006-11-29 |
| 1609966670 | Eastpointe Family Physicians | Family Medicine | 24901 Kelly Rd, Eastpointe, MI 48021-1367 | 2006-10-13 |
| 1417049909 | Robert Leonard Shore | Dentist | 24901 Kelly Rd, Eastpointe, MI 48021-1367 | 2006-09-29 |
| 1386736890 | Timothy Gerrit Demeulenaere | Dentist | 24901 Kelly Rd, Eastpointe, MI 48021-1367 | 2006-09-29 |
| 1780671461 | Robert Aquino | Internal Medicine | 24901 Kelly Rd, Eastpointe, MI 48021 | 2005-09-29 |
| 1942296116 | Carol P Mott | Physician Assistant | 24901 Kelly Rd, Eastpointe, MI 48021-1384 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
| 1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
| 1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
| 1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
| 1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
| 1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
| 1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
| 1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
| 1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
| 1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
| Find all providers in zip 48021 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245547595 | Charles D Taylor | Dentist | 24430 Gratiot, Eastpointe, MI 48021 | 2010-09-08 |
| 1275789315 | Jewell Dental of Eastpointe | Dentist | 20770 Kelly Rd, Eastpointe, MI 48021-3114 | 2008-08-08 |
| 1518044486 | Laura Pepa | Dentist | 16555 Ten Mile Rd, Riviera Plaza Great Expressions Dental, Eastpointe, MI 48021 | 2006-10-31 |
| 1760449912 | Amy Ann Davidson | Dentist | 24901 Kelly Road, Eastpointe, MI 48021 | 2006-04-28 |
| 1184233504 | Craig Lenhausen | Dentist | 22541 Gratiot Ave, Eastpointe, MI 48021-2360 | 2020-07-31 |
| 1013574631 | Nawar Sileewa | Dentist | 22541 Gratiot Ave, Eastpointe, MI 48021-2360 | 2019-05-20 |
| 1750834180 | Thomas Guinall | Dentist | 22541 Gratiot Ave, Eastpointe, MI 48021-2360 | 2016-08-02 |
| 1306135413 | Visiting Dental Associates P.C. | Dentist | 20770 Kelly Rd, Suite B, Eastpointe, MI 48021-3114 | 2011-03-30 |
| 1740324052 | Eastside Dental Specialists Pllc | Dentist | 24901 Kelly Rd, Eastpointe, MI 48021-1367 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700986 | Lake Orion Family Dentistry | Dentist | 1320 S Lapeer Rd, Lake Orion, MI 48360-1435 | 2020-11-05 |
| 1093315202 | Peninsula Family Dentistry, PC | Dentist | 3210 Us 41 W, Marquette, MI 49855-9483 | 2020-10-27 |
| 1437758398 | Pristine Dental Care | Dentist | 3021 E Walton Blvd, Auburn Hills, MI 48326-2368 | 2020-10-21 |
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1457968133 | Norman Family Dentistry PC | Dentist | 519 Ada Dr Se Ste A, Ada, MI 49301-9069 | 2020-09-28 |
| 1992312680 | Waely Dental Pllc | Dentist | 1769 Inkster Rd, Garden City, MI 48135-3028 | 2020-09-26 |
| 1164037362 | David Posada | Dentist | 1326 Marion Ave, Lincoln Park, MI 48146-2090 | 2020-09-14 |
| 1144835059 | Chelsea Anthony | Dentist | 23207 Norcrest Dr, Saint Clair Shores, MI 48080-2586 | 2020-09-09 |
| 1275147399 | Yuvraj Pannu | Dentist | 2501 W Pierson Rd Unit B, Flint, MI 48504-6802 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | EASTPOINTE |
| Zip Code | 48021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.