Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407416977 Individual Practitioner Male Practitioner

Dr. Alexander Michael Shore , DDS

Dentist - General Practice • Homewood, IL

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Shore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Homewood, IL. Practice services are available at 18114 GOTTSCHALK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18114 Gottschalk Ave

Homewood, IL 604302208

Telephone 7087995353
Associated Practice Facility / Clinic
🏢 Signature Smile Arts, Pc Facility NPI 1619613775

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Homewood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Homewood, IL (5581 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

CMS Verified: 2022-05-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901600128

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. David Mayer , DDS

Dentist - General Practice

NPI 1235295460

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location May 10, 2022

Registered at 18114 GOTTSCHALK AVE, HOMEWOOD, IL 604302208 (Tel: 7087995353)

NPI Profile Active June 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2019

Registered at 33153 MAPLENUT ST, FARMINGTON, MI 483364438 (Tel: 2483453521)

📍
Updated Business Mailing Address June 17, 2019

Registered at 33153 MAPLENUT ST, FARMINGTON, MI 483364438 (Tel: 2483453521)

👤
Provider Name / Credentials Updated June 17, 2019

Recorded as ALEXANDER SHORE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2019

Dentist (License #2901600128 in MI)

🟢
Initial NPI Registration & Enumeration June 17, 2019

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: 1407416977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2019
Last Update: May 10, 2022
Sole Proprietor: No

Mailing Address

33153 Maplenut St

Farmington, MI 483364438

Phone: 2483453521

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.