Shores Dental PLLC
NPI 1720528599ActiveOrganization· Dentist· Saint Clair Shores, MI
Dentist in Saint Clair Shores, Michigan, registered in NPPES in February 2017. The authorized official on file is Randall Shaw, DDS, MS, Manager.
Overview
| NPI | 1720528599 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2017 |
| Last updated in NPPES | Feb 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 13819 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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