Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750441408 Individual Practitioner Male Practitioner

Dr. Philip A Shore , DMD

Dentist - General Practice • Drexel Hill, PA

Professional Overview & Biography Verified Profile Summary

Dr. Philip Shore, DMD is a registered healthcare professional specializing in Dentist - General Practice in Drexel Hill, PA. Practice services are available at 200 TREATY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Treaty Rd

Drexel Hill, PA 190265023

Telephone 6104492424

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Drexel Hill, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
21 Specialists

Practicing in Drexel Hill, PA (4936 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 PA DS019091L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
159499 (PA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 TREATY RD, DREXEL HILL, PA 190265023 (Tel: 6104492424)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200 TREATY RD, DREXEL HILL, PA 190265023 (Tel: 6104492424)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILIP SHORE, D.M.D.

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

Dentist (License #DS019091L in PA)

🟢
Initial NPI Registration & Enumeration December 11, 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: 1750441408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

200 Treaty Rd

Drexel Hill, PA 190265023

Phone: 6104492424

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.