National Provider Identifier Database

EASTSIDE DENTAL SPECIALISTS PLLC
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

EASTSIDE DENTAL SPECIALISTS PLLC
24901 KELLY RD
EASTPOINTE, MI48021-1367
Phone: 586-772-2090
Fax: 586-772-0742
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
Dental Hygienist 124Q00000X
Dentist 122300000X
General Practice 1223G0001X
Oral and Maxillofacial Surgery 1223S0112X
Orthodontics and Dentofacial Orthopedics 1223X0400X
Pediatric Dentistry 1223P0221X
Periodontics 1223P0300X
Prosthodontics 1223P0700X

* Indicates primary specialty

NPI Profile & details for EASTSIDE DENTAL SPECIALISTS PLLC

NPI Number 1740324052
Legal business name
LBN
EASTSIDE DENTAL SPECIALISTS PLLC
Authorized official ROBERT SHORE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/19/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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