Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shores Dental PLLC

Organization Dentist · NPI 1720528599

Shores Dental PLLC provides Dentist services in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28503 Little Mack Ave
Saint Clair Shores, MI 48081-1119
Phone: (248) 771-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13819 (MI)

Record details

NPI number1720528599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Shaw — Manager · (248) 931-1151
NPI enumeratedFebruary 27, 2017
Last updated in NPPESFebruary 27, 2017
Mailing address350 Pine Ridge Dr, Bloomfield Hills, MI 48304-2139

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