NPI Lens

Eastside Dental Specialists PLLC

NPI 1740324052ActiveOrganization· Dentist, Endodontics· Eastpointe, MI

Dentist, Endodontics in Eastpointe, Michigan, registered in NPPES in February 2007. The authorized official on file is Robert Leonard Shore, DDS, President.

Overview

NPI1740324052
StatusActive
Entity typeOrganization
NPI issuedFeb 19, 2007
Last updated in NPPESSep 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X——
Dentist122300000X——
Dentist, General Practice1223G0001X——
Dentist, Pediatric Dentistry1223P0221X——
Dentist, Periodontics1223P0300X——
Dentist, Prosthodontics1223P0700X——
Dentist, Oral and Maxillofacial Surgery1223S0112X——
Dentist, Orthodontics and Dentofacial Orthopedics1223X0400X——
Dental Hygienist124Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years