South Shore Smiles LLC
South Shore Smiles LLC provides General Practice Dentistry in Saint John, Indiana. Licensed in Indiana. Registered with an NPI since 2016.
- Licensed in
- IN
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9270 Wicker Ave Ste E And FSaint John, IN 46373-8508 Not confirmed with CMS for 10 years — call before visiting
Phone: (219) 627-3133
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 12011455A (IN) |
|---|---|
| Pediatric Dentistry | Taxonomy 1223P0221X · Licence 12011456A (IN) |
Record details
| NPI number | 1356898050 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Shieh — Owner · (219) 716-1259 |
| NPI enumerated | September 9, 2016 |
| Last updated in NPPES | September 9, 2016 |
| Mailing address | 9270 Wicker Ave, Suite E And F, Saint John, IN 46373-8508 |
Other providers in Saint John
-
Sara Jackson, DDS
8217 Wicker Ave, Saint John, IN 46373-8878 · (219) 322-9920
-
Philip James Mangiaracina, DMD
10033 Wicker Ave Ste 9, Saint John, IN 46373-8777 · (219) 365-9750
-
Dr. Robert M Modrowski, DDS
9495 Keilman St, Saint John, IN 46373-8924 · (219) 365-4001
-
Taylor Steele
9270 Wicker Ave Ste E&f, Saint John, IN 46373-8508 · (219) 627-3133