Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT W SHORE, D.D.S.
ActiveDR. SCOTT W SHORE, D.D.S. is a Pediatric Dentistry healthcare provider located in NILES, Illinois. NPI 1013028083 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · NILES, IL
Registration Details
- NPI Number
- 1013028083
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.944483579912 yrs)
- Last Updated
- Sep 11, 2025
- License
-
19-013038 (IL)
Practice Information
- Address
-
9101 N GREENWOOD AVENILES, IL, 607141499Browse IL providers · Browse ZIP 60714
- Phone
- 8472991095
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.