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Eastside Dental Specialists Pllc

Endodontics in Eastpointe, MI · enumerated 2007 · authorized official Robert Shore, President.

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

National Provider Identifier

1740324052

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Registry record

Entity type Organization (Type 2)
Legal business name Eastside Dental Specialists Pllc
Practice address 24901 Kelly Rd, Eastpointe, MI, 48021
Fax (586) 772-0742
Enumeration date Feb 19, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223E0200X Endodontics Dental Providers Primary
1223G0001X General Practice Dentistry Dental Providers Secondary
1223P0221X Pediatric Dentistry Dental Providers Secondary
1223P0300X Periodontics Dental Providers Secondary
1223P0700X Prosthodontics Dental Providers Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary
1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers Secondary
124Q00000X Dental Hygienist Dental Providers Secondary

Authorized official

Name Robert Shore
Title President

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Eastside Dental Specialists Pllc?
Eastside Dental Specialists Pllc is registered in NPPES as a Endodontics (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.