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Deactivated NPI 1053586974 Deactivated / Inactive NPI Male Practitioner

Dr. Joseph A Shore , DDS

Dentist - General Practice • Hollywood, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joseph Shore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2008
NPI Deactivation Date October 04, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Shore, DDS was a registered Dentist - General Practice practicing in Hollywood, FL. Throughout an active medical career spanning 14 years, Dr. Shore provided care at the practice location at 5100 HOLLYWOOD BLVD until profile deactivation on 2022-10-04.

Practice Location & Contact Primary Location

Practice Address

5100 Hollywood Blvd
Suite 2

Hollywood, FL 330216518

Telephone 9549661818
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hollywood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
56 Specialists

Practicing in Hollywood, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL D4017

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Edward Fellows , DDS

Dentist - General Practice

NPI 1558476143

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 04, 2022

Record deactivated on October 04, 2022

NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 23, 2008

Registered at 5100 HOLLYWOOD BLVD, SUITE 2, HOLLYWOOD, FL 330216518 (Tel: 9549661818)

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Updated Business Mailing Address April 23, 2008

Registered at 5100 HOLLYWOOD BLVD, SUITE 2, HOLLYWOOD, FL 330216518 (Tel: 9549661818)

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Provider Name / Credentials Updated April 23, 2008

Recorded as JOSEPH SHORE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

Dentist (License #D4017 in FL)

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Initial NPI Registration & Enumeration April 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053586974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2008
Last Update: April 23, 2008
Deactivation Date: October 04, 2022

Mailing Address

5100 Hollywood Blvd, Suite 2

Hollywood, FL 330216518

Phone: 9549661818

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.