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Dr. Alexander Michael Shore, DDS
General Practice Dentistry in Homewood, Illinois
NPI 1407416977

Alexander Michael Shore is a General Practice Dentistry based in Farmington, IL and is specialized in General Practice. Alexander Michael Shore practices in Homewood, IL and has the professional credentials of DDS. The NPI Number for Alexander Michael Shore is 1407416977 and holds a License No. 2901600128 (Illinois).

The current practice location address for Alexander Michael Shore is 18114 Gottschalk Ave, Homewood, IL and can be reached out via phone at 708-799-5353.

Location: 18114 Gottschalk Ave, Homewood, IL, 48336-4438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407416977
Provider Name
Alexander Michael Shore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
18114 Gottschalk Ave, Homewood, IL, 48336-4438
Phone Number
708-799-5353
Fax Number
Provider Enumeration Date
06/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18114 Gottschalk Ave
City
Homewood
State
Illinois
Zip
60430-2208
Phone Number
708-799-5353
Fax Number
person
Provider Business Mailing Address Details
Address
18114 Gottschalk Ave
City
Homewood
State
Illinois
Zip
60430-2208
Phone Number
708-799-5353
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901600128 (Michigan)
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.
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