Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1184737264 Deactivated / Inactive NPI Male Practitioner

Dr. Paul I. Shore , DDS

Dentist - General Practice • Bath, NY

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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. Paul Shore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2006
NPI Deactivation Date March 04, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Shore, DDS was a registered Dentist - General Practice practicing in Bath, NY. Throughout an active medical career spanning 13 years, Dr. Shore provided care at the practice location at 226 W MORRIS ST until profile deactivation on 2019-03-04.

Practice Location & Contact Primary Location

Practice Address

226 W Morris St

Bath, NY 148101413

Telephone 6077768930

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bath, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Bath, NY (8411 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 NY 022514

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

4 Associated Practitioners
Dr. Maria Wolos , DDS

Dentist - General Practice

NPI 1366556169

Doctor of Dental Surgery

Gail Wilson , RDH

Dental Hygienist

NPI 1619085966

Registered Dental Hygienist

Lori Fleishman

Dental Hygienist

NPI 1912013400
NPI 1942316443

Registered Dental Hygienist

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 March 04, 2019

Record deactivated on March 04, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 226 W MORRIS ST, BATH, NY 148101413 (Tel: 6077768930)

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Updated Business Mailing Address July 08, 2007

Registered at 228 KENNEDY DR, HORSEHEADS, NY 148452264 (Tel: 6077960108)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL SHORE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #022514 in NY)

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Initial NPI Registration & Enumeration August 16, 2006

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: 1184737264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: July 08, 2007
Deactivation Date: March 04, 2019

Mailing Address

228 Kennedy Dr

Horseheads, NY 148452264

Phone: 6077960108

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.