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South Shore Smiles LLC

General Practice Dentistry in Saint John, IN · enumerated 2016 · authorized official Roger Shieh, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356898050

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Registry record

Entity type Organization (Type 2)
Legal business name South Shore Smiles LLC
Practice address 9270 Wicker Ave, Suite E and F, Saint John, IN, 46373
Enumeration date Sep 9, 2016
Last updated in NPPES Sep 9, 2016

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 12011455A (IN) Primary
1223P0221X Pediatric Dentistry Dental Providers · License 12011456A (IN) Secondary

Authorized official

Name Roger Shieh
Title Owner

Other identifiers

Identifier Type State Issuer
1144540980 Medicaid IN -
1184944159 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is South Shore Smiles LLC located?
The practice location on file with NPPES is in Saint John, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-09. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-09.