Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHRUTI PORE, D.M.D
ActiveSHRUTI PORE, D.M.D is a Dentist healthcare provider located in BARTONVILLE, Illinois. NPI 1821413451 is currently active in the NPPES registry. Verify at CMS.
Dentist · BARTONVILLE, IL
Registration Details
- NPI Number
- 1821413451
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 18, 2014 (12.322803490129 yrs)
- Last Updated
- Aug 28, 2015
- License
-
019030433 (IL)
Practice Information
- Address
-
1522 W GARFIELD AVEBARTONVILLE, IL, 616071755Browse IL providers · Browse ZIP 61607
- Phone
- 3096972228
- Primary Specialty
-
Dentist
122300000X
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.