South Shore Smiles LLC
NPI #1356898050 in Saint John, Indiana
Provider Information
- NPI Number
- 1356898050
- Entity Type
- Organization
- Organization Name
- South Shore Smiles LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 9, 2016
- Last Updated
- Sep 9, 2016
Practice Location
- Address
- 9270 WICKER AVE
- Address 2
- SUITE E AND F
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-8508
- Phone
- (219) 627-3133
Authorized Official
- Name
- DR. ROGER K SHIEH, DDS
- Title
- OWNER
- Phone
- (219) 716-1259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - General Practice — General Practice |
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