DR. Alexander Michael Shore, DDS

NPI #1407416977 in Homewood, Illinois

Provider Information

NPI Number: 1407416977
Entity Type: Individual
Name: DR. Alexander Michael Shore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 17, 2019
Last Updated: May 10, 2022

Practice Location

Address: 18114 GOTTSCHALK AVE
City: Homewood
State: Illinois
ZIP Code: 60430-2208
Phone: (708) 799-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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